37. Clinical characteristics and early results of the modified abramson technique to treat pectus carinatum at Viet Đuc Hospital from 2020-2023
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.
TRANSLATE with x
English
Arabic
Hebrew
Polish
Bulgarian
Hindi
Portuguese
Catalan
Hmong Daw
Romanian
Chinese Simplified
Hungarian
Russian
Chinese Traditional
Indonesian
Slovak
Czech
Italian
Slovenian
Danish
Japanese
Spanish
Dutch
Klingon
Swedish
English
Korean
Thai
Estonian
Latvian
Turkish
Finnish
Lithuanian
Ukrainian
French
Malay
Urdu
German
Maltese
Vietnamese
Greek
Norwegian
Welsh
Haitian Creole
Persian
TRANSLATE with
COPY THE URL BELOW
Back
EMBED THE SNIPPET BELOW IN YOUR SITE
Enable collaborative features and customize widget: Bing Webmaster Portal
Back
Article Details
Keywords
Pectus carinatum, modified Abramson technique, Hanoi medical University
References
2. Geraedts TCM, Daemen JHT, Vissers YLJ, et al. Minimally invasive repair of pectus carinatum by the Abramson method: A systematic review. Journal of pediatric surgery. Oct 2022; 57(10): 325-332. doi:10.1016/j.jpedsurg.2021.11.028.
3. Park HJ, Kim JJ, Park JK, Moon SW. A cross-sectional study for the development of growth of patients with pectus excavatum†. European Journal of Cardio-Thoracic Surgery. 2016; 50(6): 1102-1109. doi:10.1093/ejcts/ezw162.
4. Alaca N, Yüksel M. Comparison of physical functions and psychosocial conditions between adolescents with pectus excavatum, pectus carinatum and healthy controls. Pediatric surgery international. Jun 2021; 37(6): 765-775. doi:10.1007/s00383-021-04857-7.
5. Rimessi A, Mazzucco A, Fieschi S, Torre MJPM. Narrative review of therapeutical options in pectus carinatum in young patients. 2019. 2019; 2.
6. Katrancioglu O, Akkas Y, Karadayi S, Sahin E, Kaptanoğlu M. Is the Abramson technique effective in pectus carinatum repair? Asian journal of surgery. Jan 2018; 41(1): 73-76. doi:10.1016/j.asjsur.2016.09.008.
7. Park HJ, Kim KS. The sandwich technique for repair of pectus carinatum and excavatum/carinatum complex. Annals of cardiothoracic surgery. Sep 2016; 5(5): 434-439. doi:10.21037/acs.2016.08.04.
8. Del Frari B, Sigl S, Schwabegger AH, et al. Impact of surgical treatment of pectus carinatum on cardiopulmonary function: a prospective study. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. Jan 29 2021; 59(2): 382-388. doi:10.1093/ejcts/ezaa335.
9. Zhang X, Hu F, Bi R, Wang L, Jiang L. Minimally invasive repair of pectus carinatum with a new steel bar. Journal of thoracic disease. Aug 2022; 14(8): 2781-2790. doi:10.21037/jtd-22-189.
10. Shang Z, Hong C, Duan X, Li X, Si Y. Orthotic Bracing or Minimally Invasive Surgery? A Summary of 767 Pectus Carinatum Cases for 9 Years. BioMed research international. 2021; 2021:6942329. doi:10.1155/2021/6942329.
11. Apaydın T, Akkuş M. Postoperative complications and follow up after abramson surgery. Current Thoracic Surgery. 01/01 2021; 6:21. doi:10.26663/cts.2021.0004.
12. Yuksel M, Lacin T, Ermerak NO, Sirzai EY, Sayan B. Minimally Invasive Repair of Pectus Carinatum. The Annals of thoracic surgery. Mar 2018; 105(3): 915-923. doi:10.1016/j.athoracsur.2017.10.003.