Korean J Thorac Cardiovasc Surg.  2016 Apr;49(2):92-98. 10.5090/kjtcs.2016.49.2.92.

Minimally Invasive Repair of Pectus Carinatum in Patients Unsuited to Bracing Therapy

• Suh JW
• Joo S
• Lee GD
• Haam SJ
• Lee S

• KMID: 2161803
• DOI: http://doi.org/10.5090/kjtcs.2016.49.2.92

Abstract

BACKGROUND
We used an Abramson technique for minimally invasive repair of pectus carinatum in patients who preferred surgery to brace therapy, had been unsuccessfully treated via brace therapy, or were unsuitable for brace therapy because of a rigid chest wall.
METHODS
Between July 2011 and May 2015, 16 patients with pectus carinatum underwent minimally invasive surgery.
RESULTS
The mean age of the patients was 24.35±13.20 years (range, 14-57 years), and all patients were male. The percentage of excellent aesthetic results, as rated by the patients, was 37.5%, and the percentage of good results was 56.25%. The preoperative and postoperative Haller Index values were 2.01±0.19 (range, 1.60-2.31), and 2.22±0.19 (range, 1.87-2.50), respectively (p-value=0.01), and the median hospital stay was 7.09±2.91 days (range, 5-15 days). Only one patient experienced postoperative complications.
CONCLUSION
Minimally invasive repair is effective for the treatment of pectus carinatum, even in adult patients.

Keyword

Minimally invasive surgery; Pectus carinatum; Adult; Chest wall deformity; Nuss operation

MeSH Terms

Adult
Braces*
Humans
Length of Stay
Male
Postoperative Complications
Surgical Procedures, Minimally Invasive
Thoracic Wall