The Vacuum Bell device as a sternal lifter: An immediate effect even with a short time use

Journal of Pediatric Surgery
Silvia Yukari TogoroPaulo Manuel Pêgo-Fernandes

Abstract

To minimize cardiac perforation during the minimally invasive repair of pectus excavatum (MIRPE), several surgeons have suggested using a suction device to intraoperatively lift the sternum. Whether or not this technique is effective for all PE patients is not yet known. As such, our aim was to quantify the extent to which a suction device is capable of lifting the sternum with a short duration of use. 30 PE patients received a low-dose CT scan as part of standard PE evaluation. A Vacuum Bell suction was then applied for only two minutes, and a repeat CT scan was obtained only at the deepest point of the chest wall deformity. We compared chest dimensions before and after Vacuum Bell suction. The Vacuum Bell lifted the sternum in all 29 patients included in the analysis. The absolute change in depth ranged from 0.29 to 23.67mm (M=11.02, SD=6.05). The average improvement in Haller index was 0.76. The suction was most effective for individuals with low BMI and smaller chest depths. Efficacy was not associated with gender, age, or chest morphology. The Vacuum Bell device effectively lifted the sternum in PE patients with different demographics and chest morphologies. Future research is needed to address whether or not the device re...Continue Reading

Associated Clinical Trials

Citations

Mar 29, 2019·Interactive Cardiovascular and Thoracic Surgery·Akshay J Patel, Ian Hunt
Sep 12, 2020·Journal of Cardiothoracic Surgery·Xicheng DengShiting Xiang
Jun 14, 2020·Journal of Cardiothoracic Surgery·Do Yeon Kim, Jin Yong Jeong
Jun 15, 2019·Interactive Cardiovascular and Thoracic Surgery·Frank-Martin HaeckerSergio B Sesia
Jul 28, 2020·Journal of Pediatric Surgery·Rafael Lucas Costa de CarvalhoPaulo Manuel Pego-Fernandes
Dec 22, 2019·The Annals of Thoracic Surgery·Hugo ClermidyPierre-Yves Brichon

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