Treatment of pectus excavatum recurring after open surgery using Nuss procedure: A case report
Ravitch cerrahisi sonrası 10 yıl sonra nüks eden pectus ekskavatumlu 14 yaşında erkek olguyu Nuss tekniği ile başarılı bir şekilde opere ettiğimizi bildirmek istedik. Hastaya Nuss tekniği ile pektus ekskavatum operasyonu yapıldı. Postoperatif 5. gün hasta taburcu edildi. Postoperatif 3. yılında barı çıkarılması planlanmaktadır. Sonuç olarak açık cerrahi sonrası nükseden pektus ekskavatum cerrahisi riskli bir operasyondur. Minimal invaziv teknik olan Nuss operasyonu rekürren vakalarda kısa operasyon süresi ve minimal kan kaybı ile beraber başarılı bir şekilde uygulanan güvenli bir tekniktir.
Açık cerrahi sonrası nükseden pektus ekskavatumun Nuss tekniği ile tedavisi: Bir olgu sunumu
We would like to report a 14-year-old male patient with pectus excavatum that recurred 10 years later after Ravitch surgery who was successfully operated using Nuss procedure. The patient underwent pectus excavatum surgery using Nuss procedure. The patient was discharged from the hospital at post-operative 5.day. The bar is planned to be removed in post-operative 3.year. In conclusion, surgery of pectus excavatum that recurred after open surgery is risky. Nuss procedure, which is a minimally-invasive technique, is a safe procedure that can be successfully applied in recurring cases due to short time of surgery and minimal blood loss.
___
- 1. Jaroszewski DE, Fonkalsrud EW. Repair of pectus chest deformities in 320 adult patients: 21 year experience. Ann. Thorac Surg 2007; 84: 429-33.
- 2. Ravitch MM. The operative treatment of pectus excavatum. Ann Surg 1949; 129: 429-44.
- 3. Nuss D, Kelly RE, Croitoru DP, Katz ME. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg 1998; 33: 545-52.
- 4. Ellis DG, Snyder CL, Mann CM. The 're-do' chest wall deformity correction. J Pediatr Surg 1997; 32: 1267-71.
- 5. Miller KA, Ostlie DJ, Wade K, Chaignaud B, Gittes GK, Andrews WM et al. Minimally invasivebar repair for 'redo' correction of pectus excavatum. J Pediatr Surg 2002; 37: 1090-2.
- 6. Haller JA jr, Colombani PM, Humphries CT, Azizkhan RG, Loughlin GM. Chest wall constriction after too expensive and too early operations for pectus excavatum. Ann Thorac Surg 1996; 61: 1618-24.
- 7. Guo L, Mei J, Ding F, Zhang F, Li G, Xie X et al. Modified Nuss procedure in the treatment of recurrent pectus excavatum after open repair. Interactive Cardiovasc and Thorac Surg 2013; 17: 258-62. doi: 10.1093/icvts/ivt150.
- 8. Yuksel M, Bostanci K and Evman S. Minimally invasive repair after inefficient open surgery for pectus excavatum. Eur J of Cardiothorac Surg 2011; 40: 625-29. doi: 10.1016/j.ejcts.2010.12.048.