Files and links (1)
Published, Version of Record (VoR)CC BY-NC-SA V4.0, Open
Journal article
Minimally invasive repair of pectus excavatum in an adolescent with a history of a median sternotomy as an infant
Journal of pediatric surgery case reports, Vol.2(10), pp.443-445
01 Oct 2014
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The report by Nuss et al., in 1998 of their 10-year experience with minimally invasive repair of pectus excavatum introduced the possibility of a less invasive approach for the correction of chest wall abnormalities. This procedure is now well-accepted around the world, although serious complications such as intraoperative cardiac perforation and postoperative bar displacement have been reported. The Nuss procedure has been performed concurrently with sternotomy for cardiac operations. However, there have been no reports of minimally invasive pectus excavatum correction in a child with a remote history of a median sternotomy. With IRB approval (Protocol # 1308002283) we report the successful completion of a Nuss procedure in an adolescent with a history of a median sternotomy in infancy. During the procedure, thoracoscopy on the right side revealed significant adhesions of the lung and pericardium to the posterior sternum. Additional trocars were placed bilaterally to facilitate visualization and to allow for lysis of the adhesions with bipolar cautery. Passage of the bar was accomplished uneventfully and the patient has an excellent cosmetic outcome 28 months following the operation. We believe that a previous median sternotomy should not be viewed as a contraindication to the minimally invasive repair of pectus excavatum. (C) 2014 The Authors. Published by Elsevier Inc. All rights reserved.
Metrics
7 Record Views
Details
- Title
- Minimally invasive repair of pectus excavatum in an adolescent with a history of a median sternotomy as an infant
- Creators
- Lauren Huckaby - Temple UniversityRajeev Prasad - St. Christopher's Hospital for Children
- Publication Details
- Journal of pediatric surgery case reports, Vol.2(10), pp.443-445
- Publisher
- Elsevier
- Number of pages
- 3
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Identifiers
- 991019167737304721
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics