Rib deformity correction in children with pectus excavatum

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Abstract


The article is devoted to a comparative analysis of the surgical treatment of pectus excavatum. A prospective, single-center, non-randomized study of the immediate results of the correction of pectus excavatum in children and adolescents is presented.

Material and methods. The treatment results of 40 patients (27 men and 13 women) aged 3 to 18 years, operated between March 2005 and March 2016 were analyzed. All patients were examined according to the standard algorithm: chest MSCT, spirometry. All patients were divided into 2 groups. Group I — patients operated on by the open resection method with plastic surgery of the costal arches (n=27). Group II — patients operated with the use of minimally invasive technology according to NUSS, which does not provide for correction of deformation of costal arches (n=13).

Results. In group II, significantly less blood loss was noted (35.7 ml versus 137 ml in group I, p<0.05), shorter duration of surgery (230 min versus 27.5 min in group I, p<0.05). It is worth noting the earlier discharge from the hospital in patients with minimally invasive correction of deformity.

Conclusion. Minimally invasive thoracoplasty is an effective way to correct pectus excavatum in children and adolescents, which can significantly reduce the duration of surgery and intraoperative blood loss, is comparable in basic terms with reconstructive surgery, but inferior due to the lack of correction of deformation of the rib arches.


About the authors

Sergey V. Kolesov

N.N. Priorov Central Institute of Traumatologyand Orthopedics

Email: kazmin.cito@mail.ru

Russian Federation, 10 Priorova St., Moscow, 127299

MD, PhD, Head of Spine Pathology Department

Dmitriy V. Khaspekov

Children’s State Hospital of St. Vladimir

Email: kazmin.cito@mail.ru

Russian Federation, 1/3 Rubtsovsko-Dvortsovaya St., Moscow, 107014

MD, PhD, Head of Thoracic Surgery Department 

Alexander A. Snetkov

N.N. Priorov Central Institute of Traumatology and Orthopedics

Email: kazmin.cito@mail.ru

Russian Federation, 10 Priorova St.,Moscow, 127299

MD, PhD, orhthopedic surgeon at Pediatric Bone Pathology Department

Artur S. Sar

Children’s State Hospital ofSt. Vladimir

Email: kazmin.cito@mail.ru

Russian Federation, 1/3 Rubtsovsko-Dvortsovaya St., Moscow, 107014

MD, pediatric orthopedic surgeon at Thoracic Surgery Department 

Arkadiy I. Kazmin

N.N. Priorov Central Institute of Traumatology and Orthopedics

Author for correspondence.
Email: kazmin.cito@mail.ru

Russian Federation, 10 Priorova St., Moscow, 127299

MD, PhD, orthopedic surgeon at Spine Pathology Department

References

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Copyright (c) 2020 Kolesov S.V., Khaspekov D.V., Snetkov A.A., Sar A.S., Kazmin A.I.

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