Ultrasound-Guided Bar Edge Labeling in the Perioperative Assessment of Nuss Bar Removal

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Filippo IncertiAntonio Messineo

Abstract

Nuss bar removal after minimally invasive repair of pectus excavatum in patients where bar ends are not palpable, can be a challenging procedure for the surgeon; a blind dissection toward the bar edges may lead to intercostal vessels or deep intercostal muscle injuries. In this article, we describe a fast, repeatable, low-cost technique to detect bar edge and stabilizers. A perioperative scan is performed by means of a portable ultrasonograph a few minutes before the operation. The bar edge stabilizer is detected as a hyperechogenic image with a concentric crescent while the bar edge is detected as a hyperechogenic dashed line with net edges. The scan is performed, and the actual projection on the skin of the metal plaque bulk is then labeled on the patient's chest by an ink marker. We believe that this method may improve morbidity, operative time, and consequently, hospitalization length and costs.

References

Jun 5, 2003·Journal of Pediatric Surgery·Daniel J OstlieRonald J Sharp
Nov 14, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kuniyuki MorimotoKatsunori Niizuma
May 13, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Patricio VarelaMichele Torre
Jan 25, 2011·The Annals of Thoracic Surgery·Marek JemielityWojciech Dyszkiewicz
May 25, 2013·Journal of Pediatric Surgery·Wenliang LiuBangliang Yin
Jun 22, 2013·Interactive Cardiovascular and Thoracic Surgery·Mustafa YükselHasan Fevzi Batirel
Sep 7, 2014·The Annals of Thoracic Surgery·David M NotricaDawn E Jaroszewski
Dec 3, 2014·The Annals of Thoracic Surgery·Jinbo ZhaoYong Han

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