RESULTS OF SURGICAL TREATMENT OF PECTUS EXCAVATUM IN CHILDREN AND ADOLESCENTS
Narkhojayev N. Turmetov I. Kemelbekov K. Bektayev E. Akhmetov A. Zhunissov B.
1 July 2024
Georgian medical news
2024Issue 352-353118 - 122 pp.
Congenital pectus excavatum (PE) takes the first place among the deformation of the chest, accompanied by violations of the cardiorespiratory system and various cosmetic defects. A radical way to eliminate the deformation of the chest is surgical correction-thoracoplasty. MATERIAL AND METHODS: This study was performed on the results of surgical treatment of 183 patients with various forms of PE at the age of 3 to 18 years. All operated children were divided into three groups. The first group consisted of 76 (41.5%) patients who underwent thoracoplasty with fixation of the mobilized sternal-rib complex on an external traction splint. The second group included 77 (42,1%) patients operated by the developed method of thoracoplasty. The third group of 30 (16.4%) patients operated on the classical Nuss-method. Short- and long-term results were compared between the groups. RESULTS: The operation time was significantly shorter in third group (55 min) and the volume of blood loss was higher in the first group (46,4±12,5 ml). Pleural effusion and atelectasis were observed 4 and 3 patients and atelectasis, or pneumonitis was observed 3 and 2 patients in first and third groups respectively. The duration of postoperative pain syndrome was significantly shorter in second group with intercostal blockade. Pneumothorax was established 4 and 3 patients in first and third groups. Partial relapse and complete relapse were observed 3 (4.1%) and 2 (2.7%) patients in the first group. CONCLUSION: Short and long-term results were excellent for modified thoracoplasty and Nuss procedures with low complication rates.
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1South Kazakhstan Medical Academy, Shymkent, Kazakhstan; 2Akhmet Yassawi International Kazakh-Turkish University, Turkestan, Kazakhstan
2Akhmet Yassawi International Kazakh-Turkish University, Turkestan, Kazakhstan
1South Kazakhstan Medical Academy, Shymkent, Kazakhstan
1South Kazakhstan Medical Academy
2Akhmet Yassawi International Kazakh-Turkish University
1South Kazakhstan Medical Academy
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