37. Clinical characteristics and early results of the modified abramson technique to treat pectus carinatum at Viet Đuc Hospital from 2020-2023

Nguyen Viet Anh, Doan Quoc Hung

Main Article Content

Abstract

Pectus carinatum is the second most common congenital anterior chest wall deformity. This study describe the clinical, paraclinical characteristics and evaluate the early results of the modified Abramson technique to treat pectus carinatum at Viet Duc Hospital. This is a retrospective descriptive study, in all cases diagnosed with pectus carinatum and underwent surgery according to the modified Abramson technique at Viet Duc Hospital from 1/2020 to 12/2023. In 134 patients, 131 were male, the mean age 13.6 ± 1.98 years. All patients presented with cosmetic complaints, and 85.2% patients have BMI <18.5. 94/134 cases (70.2%) had symmetrical deformities, 37/134 cases (27.6%) had asymmetrical deformities, and 3 cases (2.2%) had mixed pectus deformities. The average Haller index is 2.1 ± 0.3. All patients were operated using a bar, fixed at both ends with steel thread. Operative time was 33.6 ± 7.76 minutes, and hospital stay was 5.3 ± 0.76 days (4–7 days). There was no significant early postoperative complications. Conclusion: clinical examination and computed tomography play an important role in diagnosing pectus carinatum. The modified Abramson technique is a minimally invasive surgical method for pectus carinatum patients with short operative time, hospital stay, and the first step gives good treatment results.




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References

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