Extrapleural Nuss procedure for chest wall deformity complicating thoracotomy and pulmonary resection

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Clinical application of Nuss procedure for chest wall deformity in Poland syndrome

A 6-year-old girl with Poland syndrome was diagnosed with loss of hard and soft tissue on her affected chest. She required chest reconstruction to protect her thorax and improve her developmental delay. We applied a titanium device used for children with funnel chest to her, resulting in good shape. By using this device, we avoided sacrificing healthy rib and muscle; she could save the tissue f...

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Comments on the article “Clinical application of Nuss procedure for chest wall deformity in Poland syndrome”

Poland’s syndrome is a very rare type of chest deformation found in 1 : 32,000 – 1 : 52,500 live births [1, 2]. Its treatment most often involves the reconstruction of the mammary glands with the transposition of a pedicled muscle-skin flap using Marlex mesh [3, 4] or the repair of the chest’s bone structure. The coexistence of multiple developmental defects of the chest constituting this syndr...

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Pleural effusion complicating after Nuss procedure for pectus excavatum.

PURPOSE The Nuss procedure is a minimally invasive method for the correction of pectus excavatum (PE). Pleural effusion complicating following the Nuss procedure was uncommon but may be critical. We evaluated the risk factors of postoperative pleural effusion after Nuss repair. METHODS We included all patients with PE primarily corrected by Nuss procedure from July 2005 to December 2011. The ...

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Anterior chest wall elevation using a T-fastener suture technique during a Nuss procedure.

The most critical part of the Nuss procedure is the passage of the introducer across the anterior mediastinum without cardiac injury. For patients with severe pectus excavatum, passing the introducer can be difficult and hazardous. We describe a technique that resembles a use of T-fastenerlike suture material to elevate the anterior chest. The elevation of the chest allows safe, blunt anterior ...

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First Iranian Experience of the Minimally Invasive Nuss Procedure for Pectus Excavatum Repair: A Case Series and Literature Review

Pectus excavatum is the most common congenital deformity of the chest wall. The most frequently used techniques include Ravitch (costochondral resection) and Nuss (minimally invasive pectus repair of pectus excavatum [MIRPE]). The Nuss technique includes using temporary metallic bars without costochondral resection to correct the chest wall deformity. Modified MIRPE can be learned easily and pe...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 2009

ISSN: 0022-5223

DOI: 10.1016/j.jtcvs.2008.09.047