Source: Annual Congress 2002 - Chest trauma, airways and miscellaneous

Abstract

The most common types of congenital anterior chest wall deformities are pectus excavatum and pectus carinatum. Surgical correction should be applied for pectus deformities because of cosmetically and orthopedic, physiological, and psychological problems. In this study it was intended to compare correction operations of pectus deformities by using retrosternal metal support and absorbable plaque for sternal fixation.
Surgical correction was performed to 27 patients by applying classical Rawitz technique. Twenty of patients had pectus excavatum and 7 of them had pectus carinatum. All patients were male and age average was 23.4 (21-27).
For sternal fixation, retrosternal metallic support (retrosternal bar) for 15 patients and the resorbable copolymer plaque and polymer screw (The Lactosorb material) for 12 patients were used (Balkanli technique).
There was not any mortality and morbidity. Retrosternal bar was removed by local anesthesia after 3-6 months. Patients were followed up during 12-18 months in the postoperative period and no complication was observed except a minimal relapse.
Sternal fixation using retrosternal bar or absorbable plaque are two techniques that can be applied with confidence in the surgical correction operations of pectus deformities. Retrosternal bar usage is a cheaper technique however needs closer follow-up for its published complications in the literature and needs sometimes a second operation. Absorbable plaque has the same efficacy with retrosternal usage. It is more confident but more expensive when compared to the retrosternal bar usage.

Rating:

Share or cite this content

Citations should be made in the following way:
R. Gorur, T. Isitmangil, H. Tunc, S. Sebit, O. Erdik, K. Balkanli, O. Y. Ozturk (Istanbul, Turkey). Comparison of retrosternal metal support and absorbable plaque in surgical correction of pectus deformities. Eur Respir J 2002; 20: Suppl. 38, 976

Member's Comments

No comment yet.

Related content which might interest you: Our experience with surgical repair of pectus deformities in adults with titanium plaque Source: Annual Congress 2008 - Congenital lung lesions and emphysema; lung cancer surgery Year: 2008 Stabilization of sternum using absorbable copolymer plate in the open surgery for pectus deformities Source: Annual Congress 2012 - Chest wall, diaphragm and pleura Year: 2012 Our experience in pectus excavatum repair using mini-invasive surgery Source: Annual Congress 2010 - Congenital lesions and rare pathology Year: 2010 The largest experience with surgery of pectus deformities in adult Source: Annual Congress 2009 - Pleural problems, congenital lesions and novel technical devices Year: 2009 Contralateral anterial mediastinal plasty with a polymer mesh implant - a new method of surgery for post-pneumonectomy mediastinal hernia in patients with widespread tuberculosis. Source: Virtual Congress 2020 – Thoracic surgery: malignancies Year: 2020 The Marmara experience on the minimally invasive repair of pectus deformities Source: Annual Congress 2009 - Pleural problems, congenital lesions and novel technical devices Year: 2009 Results of the surgical treatment of pectus excavatum Source: Eur Respir J 2006; 28: Suppl. 50, 271s Year: 2006 Chest wall kinematics in patients affected by pectus excavatum after surgery Source: Annual Congress 2010 - Distortions of the respiratory system in the lung function Year: 2010 Modification of surgical treatment of pectus excavatum Source: Eur Respir J 2004; 24: Suppl. 48, 176s Year: 2004 Evaluation of the effects of surgical correction of left mediastinal displacement in children with pectus excavatum on pulmonary perfusion, using minimal radiation exposure Source: Annual Congress 2012 - Chest wall, diaphragm and pleura Year: 2012 Our experience in the minimally invasive repair of pectus excavatum Source: Annual Congress 2009 - Pleural problems, congenital lesions and novel technical devices Year: 2009 Possibilities of endoscopic methods and endoprosthesis in the treatment of scar stenoses of trachea Source: Annual Congress 2009 - Lung infections; diagnostic and therapeutic problems Year: 2009 Value of different diagnostic procedures in the assessment of the pectus excavatum morphology Source: International Congress 2015 – Challenges in surgery for non-malignant disorders: pleural mediastinal and tracheal problems, congenital disorders Year: 2015 Minimally invasive repair of pectus carinatum: A single institution experience Source: Annual Congress 2012 - Special problems in thoracic surgery Year: 2012 Prevention and treatment of complications of repair of anterior chest deformities Source: Eur Respir J 2005; 26: Suppl. 49, 169s Year: 2005 Minimally invasive repair of pectus excavatum: A single institution experience Source: Annual Congress 2012 - Chest wall, diaphragm and pleura Year: 2012 A single institution experience on minimally invasive repair of pectus deformities Source: Annual Congress 2013 –Chest wall and pleura Year: 2013 Complete sternal defect accompanied by cervicofacial haemangioma, pectus excavatum, and right aortic arc: a case report Source: Annual Congress 2007 - Orphan diseases Year: 2007 Large chest wall resection and reconstruction using titanium meshplate and pedicled muscular flap: Report of 6 cases Source: Annual Congress 2012 - Special problems in thoracic surgery Year: 2012 Thoracotomy closure with resorbable plates versus classic intercostal suture Source: Annual Congress 2009 - Operative technique, postoperative complications; rare pathology Year: 2009