Minimally Invasive Pectus Excavatum Surgery: A Single Center Experience

Yıl 2021, Cilt: 12 Sayı: 42, 18 - 22, 15.04.2021

Ahmet Acıpayam , Mahmut Tokur

https://doi.org/10.17944/mkutfd.833764

Öz

Abstract
Minimally Invasive Pectus Excavatum Surgery: A Single Center Experience.

Aim: Pectus Excavatum (PE) is the most common chest wall deformity. PE is seen once in 300-400 live births. Although there are many methods in the surgical treatment of PE, the most common approach is the Nuss method, which aims to correct the deformity by placing a metal bar under the sternum. In this study, we aimed to present the results of Nuss operations we performed in our clinic in the light of the literature.
Materials and Methods: The data of 20 patients who underwent Nuss operation for PE between August 2011 and December 2019 in our clinic were retrospectively analyzed.
Results: Eighteen of the patients were male and 2 were female. The age distribution of the patients we operated on was between 6 and 17 years and the median age was 15. The indication for the operation in patients was cosmetic reasons. Average length of hospital stay was 7 days (range 3-15 days). 95% of the patients stated that they were satisfied with the result due to the improvement of the deformity after the operation.
Conclusion: Nuss operation, which is a minimally invasive procedure for PE, increases patient satisfaction due to its shorter operation time, smaller incision scar and more aesthetic appearance.
Keywords: Pectus excavatum, Nuss Operation, Chest Deformity

Anahtar Kelimeler

Pectus excavatum, Nuss Operation, Chest Deformity

Minimal İnvaziv Pektus Ekskavatum Ameliyatı: Tek Merkez Deneyimi

Öz

ÖZ
Minimal İnvaziv Pektus Ekskavatum Ameliyatı: Tek Merkez Deneyimi
Amaç: Pektus Ekskavatum (PE), en sık görülen göğüs duvarı deformitesidir . PE 300-400 canlı doğumda bir görülür. PE’un cerrahi tedavisinde birçok yöntem bulunmakla birlikte en sık kullanılan yaklaşımlar sternum altına metal bir bar yerleştirilerek deformiteyi düzeltmeyi amaçlayan Nuss yöntemidir. Bu çalışmada kliniğimizde gerçekleştirdiğimiz Nuss operasyonlarının sonuçlarını literatür eşliğinde sunmayı amaçladık.
Gereç ve Yöntem: Ağustos 2011-Aralık 2019 tarihleri arasında kliniğimizde PE nedeniyle Nuss operasyonu uygulanan 20 hastanın verileri retrospektif olarak incelendi.
Bulgular: Hastaların 18’i erkek 2’si kadındı. Opere ettiğimiz hastaların yaş dağılımı 6 ile 17 yaş arasında olup ortanca yaş 15 idi. Hastalarda operasyon için endikasyon kozmetik sebepler idi. Ortalama hastanede yatış süresi 7 gün (dağılım 3-15 gün) idi. Hastaların %95’i operasyon sonrası deformitenin düzelmesine bağlı sonuçtan memnun olduğunu ifade ettiler.
Sonuç: PE için yapılan minimal invaziv girişim olan Nuss operasyonu daha kısa operasyon süresi, daha küçük insizyon skarı ve daha estetik görünmesi nedeniyle hasta memnuniyetini arttırmaktadır.
Anahtar Kelimeler: Pektus ekskavatum, Nuss Operasyonu, Göğüs Deformitesi

Anahtar Kelimeler

pektus ekskavatum, nuss operasyonu, göpüs deformitesi

Kaynakça

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