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Pectus excavatum

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https://www.readbyqxmd.com/read/29430201/outcomes-in-adult-pectus-excavatum-patients-undergoing-nuss-repair
#1
REVIEW
MennatAllah M Ewais, Shivani Chaparala, Rebecca Uhl, Dawn E Jaroszewski
Pectus excavatum (PEx) is one of the most common congenital chest wall deformities. Depending on the severity, presentation of PEx may range from minor cosmetic issues to disabling cardiopulmonary symptoms. The effect of PEx on adult patients has not been extensively studied. Symptoms may not occur until the patient ages, and they may worsen over the years. More recent publications have implied that PEx may have significant cardiopulmonary implications and repair is of medical benefit. Adults presenting for PEx repair can undergo a successful repair with a minimally invasive "Nuss" approach...
2018: Patient related Outcome Measures
https://www.readbyqxmd.com/read/29411068/early-consequences-of-pectus-excavatum-surgery-on-self-esteem-and-general-quality-of-life
#2
W P Zuidema, J W A Oosterhuis, G W Zijp, S M van der Heide, A F W van der Steeg, L W E van Heurn
BACKGROUND: An early observation after chest wall correction is direct inspection from the PE patient of their "new" thorax. Changes in self-perception may give raise to other psychological adaptations. The aim of this study was to evaluate the early changes in the fields of self-esteem, body image and QoL. METHODS: Prospective observational longitudinal multicenter cohort study. Self-esteem, emotional limitations and general health were assessed using the Child Health Questionnaire (CHQ) in patients under 18 and the World Health Organization Quality of Life Questionnaire-bref (WHOQOL-bref) was used for body image, psychological domain and overall QoL in patients over 16 years of age...
February 6, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29397201/are-foley-catheters-needed-after-minimally-invasive-repair-of-pectus-excavatum
#3
Tyler C Friske, Richard Sola, Yangyang R Yu, Abdur R Jamal, Eric Rosenfeld, Huirong Zhu, Mark V Mazziotti, Shawn D St Peter, Sohail R Shah
BACKGROUND: High narcotic requirements after minimally invasive repair of pectus excavatum (MIRPE) can increase the risk of urinary retention. Placement of intraoperative Foley catheters to minimize this risk is variable. This study determines the rate of urinary retention in this population to guide future practice. MATERIALS AND METHODS: We reviewed retrospectively all patients who underwent MIRPE from January 2012 to July 2016 at 2 academic children's hospitals...
January 31, 2018: Surgery
https://www.readbyqxmd.com/read/29390594/hybrid-repair-of-pectus-excavatum-and-congenital-heart-disease-a-case-report
#4
Xicheng Deng, Peng Huang, Liwen Yi, Xiaohui Yang, Cheng He
RATIONALE: Pectus excavatum (PE) in the setting of congenital heart disease is not uncommon. The surgical strategy has evolved over the last 20 years from a staged approach to simultaneous repair of both defects. PATIENT CONCERNS: A 3-year-old boy was admitted for elective repair of PE and atrial septal defect (ASD). DIAGNOSES: Clinically, there were obvious features of PE and a grade 2 systolic murmur heard loudest at the 2nd intercostal space abutting the left sternal border...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29361171/ecomment-narrative-therapy-for-decision-making-about-pectus-excavatum-treatment-concepts-clarification-and-basic-claims-demonstration-challenge
#5
Ekaterini Christina Tampaki, Athanasios Tampakis, Didier Lardinois
No abstract text is available yet for this article.
February 1, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29343419/successful-use-of-non-invasive-positive-pressure-ventilation-in-a-patient-with-the-severe-form-of-x-linked-myotubular-myopathy
#6
Kenji Inoue, Tomohiro Kumada, Ikuko Hiejima, Tatsuya Fujii
The severity of X-linked myotubular myopathy (XLMTM) ranges from mild to severe, depending on the level of ventilatory support required. Patients with the severe form of XLMTM usually die within the first year of life due to respiratory failure. Most survivors need tracheostomies, and there has only been one report about the use of non-invasive positive pressure ventilation (NPPV) in patients with the severe form of XLMTM because of the severity of the associated respiratory failure. We successfully applied NPPV with high-span positive inspiratory pressure (PIP) in a patient with the severe form of XLMTM, who also had secondary pectus excavatum...
January 14, 2018: Brain & Development
https://www.readbyqxmd.com/read/29325984/minimally-invasive-repair-of-pectus-carinatum
#7
Mustafa Yuksel, Tunc Lacin, Nezih Onur Ermerak, Esra Yamansavci Sirzai, Bihter Sayan
BACKGROUND: The second most common deformity of the anterior chest wall, pectus carinatum, is a diverse deformity that has been largely managed using open techniques. This study reviews clinical experience with a newly designed bar for minimally invasive repair of pectus carinatum. METHODS: We reviewed the records of all patients recorded in our Chest Wall Deformities Clinical Database. Between January 2006 and November 2016, minimally invasive repair of pectus carinatum was performed in 172 patients...
January 9, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29318956/improvement-in-existing-chest-wall-irregularities-during-breast-reconstruction
#8
Katherine M Huber, Amanda Zimmerman, Deniz Dayicioglu
Mastectomies for both cancer resection and risk reduction are becoming more common. Existing chest wall irregularities are found in these women presenting for breast reconstruction after mastectomy and can pose reconstructive challenges. Women who desired breast reconstruction after mastectomy were evaluated preoperatively for existing chest wall irregularities. Case reports were selected to highlight common irregularities and methods for improving cosmetic outcome concurrently with breast reconstruction procedures...
January 2018: Cancer Control: Journal of the Moffitt Cancer Center
https://www.readbyqxmd.com/read/29302749/simultaneous-repair-of-congenital-heart-defects-and-pectus-excavatum-in-young-children
#9
Junke Wang, Quan Wang, Zhengxia Pan
PURPOSE: The present study was undertaken to summarize our experience with the concurrent repair of pectus excavatum (PE) and congenital heart defects in young children over the past 15 years. METHODS: A retrospective study was conducted that included patients who underwent combined repair of PE and a congenital heart defect in a large clinical center between 2002 and 2017. Intraoperative and postoperative patient characteristics, postoperative complications and surgical outcomes were recorded...
January 5, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/29248153/impact-of-pectus-excavatum-on-cardiopulmonary-function
#10
Tariq Abu-Tair, Salmai Turial, Marike Hess, Christiane M Wiethoff, Gundula Staatz, André Lollert, Christoph Kampmann
BACKGROUND: Pectus excavatum is classified using the Haller Index (HI) or the Correction Index. However, no correlation between the HI and CI and cardiopulmonary impairment has been described in detail. METHODS: This prospective cohort study included 99 otherwise healthy patients with pectus excavatum who underwent cardiopulmonary exercise testing and magnetic resonance imaging at inspiration and expiration to correlate cardiopulmonary function with the grade of thoracic dysmorphia...
December 13, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29246660/-contribution-of-computer-aided-design-for-the-conception-of-custom-made-implants-in-pectus-excavatum-surgical-treatment-experience-of-the-nantes-plastic-surgery-unit
#11
H Tilliet Le Dentu, U Lancien, O Sellal, F Duteille, P Perrot
INTRODUCTION: Pectus excavatum is the most common congenital chest malformation and is a common reason for consultation in plastic surgery. Our attitude is most often a filling of the depression with a custom-made silicone prosthesis. The objective of this work was to evaluate the interest of computer-aided design (CAD) of implants compared to the conventional plaster molds method. PATIENTS AND METHODS: We have collected all the cases of custom-made silicone implants to treat funnel chests in our plastic surgery department...
December 12, 2017: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29244154/ventricular-arrhythmia-solved-by-surgical-correction-of-pectus-excavatum
#12
Joana Pimenta, António Vieira, Tiago Henriques-Coelho
Pectus excavatum is generally considered a benign problem with a wide spectrum of impact in body image. Some articles had highlighted that this deformity can be associated with important clinical problems. We report a case of a 14-year-old boy with a severe pectus excavatum associated with palpitations who was diagnosed with polymorphic ventricular arrhythmia. The arrhythmia was resolved after minimally invasive surgical correction of the pectus excavatum.
December 12, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29228013/occult-rv-systolic-dysfunction-detected-by-cmr-derived-rv-circumferential-strain-in-patients-with-pectus-excavatum
#13
Vien T Truong, Candice Y Li, Rebeccah L Brown, Ryan A Moore, Victor F Garcia, Eric J Crotty, Michael D Taylor, Tam M N Ngo, Wojciech Mazur
AIMS: To investigate the right ventricular (RV) strain in pectus excavatum (PE) patients using cardiac magnetic resonance tissue tracking (CMR TT). MATERIALS AND METHODS: Fifty consecutive pectus excavatum patients, 10 to 32 years of age (mean age 15 ± 4 years), underwent routine cardiac magnetic resonance imaging (CMR) including standard measures of chest geometry and cardiac size and function. The control group consisted of 20 healthy patients with a mean age of 17 ± 5 years...
2017: PloS One
https://www.readbyqxmd.com/read/29198628/revision-of-failed-prior-nuss-in-adult-patients-with-pectus-excavatum
#14
Awais Ashfaq, Staci Beamer, MennatAllah M Ewais, Jesse Lackey, Dawn Jaroszewski
BACKGROUND: Minimally invasive repair of pectus excavatum (MIRPE) has been extended to repair of defects in adults, with reported higher complication rates and outcome failures. The optimal revision for a prior failed MIRPE in an adult has not been identified. We review our experience for this adult population. METHODS: A retrospective review was performed of 129 patients (age ≥18 years) who underwent revision after a failed pectus excavatum (PE) repair from December 2010 through December 2016...
December 1, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29162223/effects-of-pectus-excavatum-repair-on-right-and-left-ventricular-strain
#15
Chieh-Ju Chao, Dawn Jaroszewski, Michael Gotway, MennatAllah Ewais, Susan Wilansky, Steven Lester, Samuel Unzek, Christopher P Appleton, Hari P Chaliki, Brantley D Gaitan, Farouk Mookadam, Tasneem Z Naqvi
BACKGROUND: The cardiopulmonary benefits of pectus excavatum repair have been debated. Echocardiographic speckle-tracking strain and strain rate have been used to evaluate and detect subclinical myocardial dysfunction in patients receiving cardiotoxic chemotherapy, and patients with valvular heart disease. This technology was applied to evaluate the effects of pectus excavatum surgery on left ventricular (LV) and right ventricular (RV) function. METHODS: Speckle tracing strain evaluation was performed on intraoperative transesophageal echocardiographic images acquired immediately before and after Nuss repair in adult patients (aged 18 years or more) from 2011 to 2014...
January 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29156016/pectus-excavatum-repair-after-sternotomy-the-chest-wall-international-group-experience-with-substernal-nuss-bars
#16
Dawn E Jaroszewski, Paul J Gustin, Frank-Martin Haecker, Hans Pilegaard, Hyung Joo Park, Shao-Tao Tang, Shuai Li, Li Yang, Sadashige Uemura, Jose Ribas Milanez De Campos, Robert Obermeyer, Frazier W Frantz, Michele Torre, Lisa McMahon, Andre Hebra, Chih-Chun Chu, J Duncan Phillips, David M Notrica, Antonio Messineo, Robert Kelly, Mustafa Yüksel
OBJECTIVES: Patients with pectus excavatum (PE) after prior sternotomy for cardiac surgery present unique challenges for repair of PE. Open repairs have been recommended because of concerns about sternal adhesions and cardiac injury. We report a multi-institutional experience with repair utilizing substernal Nuss bars in this patient population. METHODS: Surgeons from the Chest Wall International Group were queried for experience and retrospective data on PE repair using sub-sternal Nuss bars in patients with a history of median sternotomy for cardiac surgery (November 2000 to August 2015)...
October 1, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29138688/effect-on-chest-deformation-of-simultaneous-correction-of-pectus-excavatum-with-scoliosis
#17
Jin-Duo Ye, Guang-Pu Lu, Jing-Jing Feng, Wei-Hong Zhong
Objective: This paper is to understand the effect of simultaneous correction of pectus excavatum with scoliosis and to provide some useful information for clinical orthopedic surgery design. Methods: The method of a three-dimensional reconstruction has been used to the reconstruction of the chest model of pectus excavatum with scoliosis, and the numerical stimulation has been conducted to the process of minimally invasive correction. Three kinds of correction methods have been considered in the numerical simulation, stretch spine, stretch spine and minimally invasive correction at the same time, and release stretch spine after stretch spine and minimally invasive correction of pectus excavatum at the same time...
2017: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29078605/uniportal-nuss-procedure-for-pectus-excavatum-where-to-place-the-camera-but-we-ve-always-done-it-this-way
#18
Ivan Schewitz
This study was stimulated by the increasing use of uniportal thoracoscopic surgery. If a lobectomy can be performed through one small incision why not the much simpler Nuss procedure? The Nuss procedure was performed with the use of the surgical incision for the camera. Initially the patient was positioned so that the standard site for the camera could be utilized. Once it become obvious that the uniportal approach worked the patient was positioned in the middle of the table. In all cases the uniportal approach in my hands was easy and made the operation less cumbersome...
2017: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29065615/effects-of-pectus-excavatum-on-the-spine-of-pectus-excavatum-patients-with-scoliosis
#19
WeiHong Zhong, JinDuo Ye, JingJing Feng, LiYang Geng, GuangPu Lu, JiFu Liu, ChunQiu Zhang
BACKGROUND: There is high risk in the correction surgery of pectus excavatum with scoliosis because of the lack of the correction mechanism of pectus excavatum with scoliosis. This study performed a comprehensive analysis about the impact that pectus excavatum had on scoliosis and elaborated its biomechanical mechanism in pectus excavatum patients with scoliosis. METHODS: 37 pectus excavatum patients were selected. According to age, Haller index of pectus excavatum, offset coefficient, vertical position, sternal torsion angle, and asymmetric index, 37 patients were, respectively, divided into 2 compared groups...
2017: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29063665/a-retrospective-comparison-of-thoracic-epidural-infusion-and-multimodal-analgesia-protocol-for-pain-management-following-the-minimally-invasive-repair-of-pectus-excavatum
#20
Janice Y Man, Harshad G Gurnaney, Scott R Dubow, Theresa J DiMaggio, Gina R Kroeplin, N Scott Adzick, Wallis T Muhly
BACKGROUND: Pain management following minimally invasive repair of pectus excavatum is variable. We recently adopted a comprehensive multimodal analgesic protocol that standardizes perioperative analgesic management. We hypothesized that patients managed with this protocol would use more opioids postoperatively, have similar pain control, and shorter length of stay compared to patients managed with thoracic epidural infusion. AIMS: We retrospectively compared opioid consumption, pain scores, and length of stay between a cohort of patients managed with our multimodal analgesic protocol and a cohort managed with a thoracic epidural infusion...
December 2017: Paediatric Anaesthesia
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