An innovative single-stage repair of severe asymmetric pectus excavatum defects using substernal mesh bands

The Annals of Thoracic Surgery
Vasilas A KaragounisJeffrey P Gold

Abstract

An internally supported technique employing selective subperichondral cartilage resection and wedge sternal osteotomy reinforced with multiple transverse nonabsorbable mesh bands was performed in 52 patients undergoing surgical repair of severe asymmetric pectus excavatum chest wall deformity. The short-term structural and cosmetic results were excellent, the length of hospital stay was short (3.1 days), and complications were few. The long-term results were also excellent at 5 to 161 months (mean, 79 months) after repair. The procedure is well accepted by patients and families as a treatment for the severe variants of this chest wall lesion and as such is recommended as a satisfactory alternative to current techniques.

References

Apr 10, 1999·The Annals of Thoracic Surgery·C L WillekesC Mavroudis
Apr 24, 1999·The Annals of Thoracic Surgery·J KowalewskiK Zolyński
Oct 6, 1999·The Annals of Thoracic Surgery·E OnursalE Tireli
Apr 1, 1949·Annals of Surgery·M M Ravitch

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Citations

Oct 25, 2011·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·H A KragtenN Visker
Jun 28, 2008·Seminars in Pediatric Surgery·Steven R Lopushinsky, Annie H Fecteau
Oct 24, 2006·Seminars in Pediatric Surgery·Gary BinyaminCarlos M Mery
Nov 25, 2005·The Annals of Thoracic Surgery·Francis Robicsek
Jan 25, 2014·Interactive Cardiovascular and Thoracic Surgery·Masatsugu HamajiClaude Deschamps

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