Volume 19 Issue 10
Oct.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(10): 1662-1665
ZHU Bao-feng, DUAN Xian-lun, ZHONG Wen-wen, SUN Di-wen, LI Xu. Individualised treatment of pectus carinatum combined with Haversian sulcus depression[J]. Chinese Journal of General Practice, 2021, 19(10): 1662-1665. doi: 10.16766/j.cnki.issn.1674-4152.002136
Citation: ZHU Bao-feng, DUAN Xian-lun, ZHONG Wen-wen, SUN Di-wen, LI Xu. Individualised treatment of pectus carinatum combined with Haversian sulcus depression[J]. Chinese Journal of General Practice, 2021, 19(10): 1662-1665. doi: 10.16766/j.cnki.issn.1674-4152.002136
shu

Individualised treatment of pectus carinatum combined with Haversian sulcus depression

doi: 10.16766/j.cnki.issn.1674-4152.002136

  • Department of Thoracic Surgery, Children's Hospital of Anhui Province, Hefei, Anhui 230051, China

Funds:

 2019SEY002

  • Received Date: 2020-09-05
    Available Online: 2022-02-15
    Abstract
  •   Objective  To explore the feasibility of minimally invasive sternal sedimentation combined with Nuss procedure in the treatment of pectus carinatum with Haversian sulcus depression.  Methods  We collected the clinical data of children treated with minimally invasive sternal sedimentation combined with Nuss procedure for pectus carinatum with Haversian sulcus depression during June 2015 to August 2020. Then, we described and analysed their information such as Haller index, operative time, intraoperative blood loss, postoperative hospitalisation time, postoperative complications and family satisfaction.  Results  A total of 45 cases with pectus carinatum with Haversian sulcus depression were collected. Amongst them, 43 were boys, and 2 were girls. Their age ranged from 8 to 18 years [average age (12.98±1.80) years]. Their weight ranged from 23.00 to 28.50 kg [(44.58±8.60) kg]. Their Haller index ranged from 1.69 to 2.27 (2.12±0.15). The surgery was successfully performed in all patients. The surgery time ranged from 107 to 208 min [(181.89±32.61) min]. Intraoperative bleeding was between 5 mL and 20 mL [(10.58±2.58) mL]. The satisfaction rate was >95%. No severe surgical complications were noted. Infection at the incision site in one patient was treated with regular changing of wound dressing. We followed up the patients for 1, 4, 12 and 24 months after surgery. There are 22 patients removed their internal support at present. During the follow-up period, no recurrence was observed.  Conclusion  Individualised minimally invasive sternal sedimentation combined with Nuss procedure is suitable for the treatment of pectus carinatum with Haversian sulcus depression. It not only improves the chest wall appearance, but also increases the volume of the chest. Thus, it is worth popularising and applying.

     

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