Modified Nuss funnel chest surgery in children.docVIP

 PAGE \* MERGEFORMAT 3 Modified Nuss funnel chest surgery in children Author: Yu Guo-Sheng, Chen Lin Jia, Li Zhijun [Abstract] Objective To evaluate the minimally invasive treatment of children, the clinical effects of funnel chest and technical improvements. Methods Nuss method of correction of pectus excavatum in 15 cases of sick children. Results of 15 cases of sick children a smooth operation, operative time 30 ~ 100min, an average of 55min, bleeding volume 5 ~ 10ml. 2 cases occurred after incision foreign body allergy, medication cured after treatment. Orthopedic follow-up results look good, long-term stent is well tolerated. Conclusion Minimally invasive treatment of children with funnel chest, trauma, less bleeding, simple operation, quick recovery, results were satisfactory, it is worth promoting. [Keywords:] funnel chest; minimally invasive therapy; Nuss surgery To use more traditional funnel chest treatment of sternal turnover or middle chest incision, rib separation of the surface sneak away from the broken ribs and the sternum more than bilateral, internal thoracic artery ligation, and then OK sternum (used in conjunction part of the ribs) flip. Since traditional large surgical trauma, children often difficult to accept. In recent years, minimally invasive technique is widely carried out, Nuss (1998, first report) the use of minimally invasive treatment of pectus excavatum has achieved good clinical results [1]. Trauma due to the technology, simple operation, orthopedic effective, has quickly been carried out around the world. Our hospital on March 27, 2006 in the province carried out the first minimally invasive technique in treating children with funnel chest, and make certain improvements in surgical technique and its treatment results reported as follows. An object and methods 1.1 The target children in this group 15 patients, 12 males and 3 females; aged 2 to 14 years, an average of 8.56 years of age; weight of 15 ~ 48kg, an average of 31