Clinical experience of repair of pectus excavatum and carinatum deformities

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dc.contributor.authorÖncel, Murat
dc.contributor.authorTezcan, Bekir
dc.contributor.authorAkyol, Kazım Gürol
dc.contributor.authorDereli, Yüksel
dc.contributor.authorSunam, Güven Sadi
dc.date.accessioned2020-03-26T18:41:18Z
dc.date.available2020-03-26T18:41:18Z
dc.date.issued2013
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: We present the results of surgical correction of pectus excavatum (PE) and pectus carinatum (PC) deformities in adults, and also report a new method of sternal support used in surgery for PE deformities. Methods: We present the results of 77 patients between the ages of 10 and 29 years (mean 17) with PE (n = 46) or PC (n = 31) deformities undergoing corrective surgery from 2004 to 2011, using the Ravitch repair method. Symptoms of the patients included chest pain (15%) and tachycardia (8%). Three patients underwent repair of recurrent surgical conditions. Results: All of the patients with dyspnoea with exercise experienced marked improvement at five months post operation. Complications included pneumothorax in 5.1% (n = 4), haemothorax in 2.6% (n = 2), chest discomfort in 57% (n = 44), pleural effusion in 2.6% (n = 2), and sternal hypertrophic scar in 27% (n = 21) of patients. Mean hospitalisation was eight days. Pain was mild and intravenous analgesics were used for a mean of four days. There were no deaths. Results after surgical correction were very good or excellent in 62 patients (80%) at a mean follow up of three years. Three patients had recurrent PE and were repaired with the Nuss procedure. In three patients who underwent the Ravitch procedure, a stainless steel bar was used for sternal support instead of Kirschner wire. Conclusions: Pectus deformities may be repaired with no mortality, low morbidity, very good cosmetic results and improvement in cardiological and respiratory symptoms.en_US
dc.identifier.doi10.5830/CVJA-2013-065en_US
dc.identifier.endpage321en_US
dc.identifier.issn1995-1892en_US
dc.identifier.issn1680-0745en_US
dc.identifier.issue8en_US
dc.identifier.pmid24240383en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage318en_US
dc.identifier.urihttps://dx.doi.org/10.5830/CVJA-2013-065
dc.identifier.urihttps://hdl.handle.net/20.500.12395/29304
dc.identifier.volume24en_US
dc.identifier.wosWOS:000328933900006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherCLINICS CARDIVE PUBL PTY LTDen_US
dc.relation.ispartofCARDIOVASCULAR JOURNAL OF AFRICAen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectpectus excavatumen_US
dc.subjectpectus carinatumen_US
dc.subjectmodified Ravitch procedureen_US
dc.subjectinternal baren_US
dc.titleClinical experience of repair of pectus excavatum and carinatum deformitiesen_US
dc.typeArticleen_US

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