The The Sandwich Technique For Minimally Invasive Repair Of Pectus Carinatum

Authors

  • Yara Lopes Diaz Hospital de Urgência e Emergência, Thoracic Surgery Department, Vitória, Espírito Santo, Brazil; Vitoria Apart Hospital, Vitoria, ES, Brazil
  • Thiago Magalhaes Ramos Hospital de Urgência e Emergência, Thoracic Surgery Department, Vitória, Espírito Santo, Brazil; Vitoria Apart Hospital, Vitoria, ES, Brazil https://orcid.org/0009-0003-1817-2898
  • Miguel Lia Tedde Heart Institute (InCor), Hospital das Clínicas, University of Sao Paulo Medical School, Thoracic Surgery - SP, Brazil; Instituto Pensi, Hospital Infantil Sabará, São Paulo, Brazil https://orcid.org/0000-0002-8178-4243
  • Diego Arley Gomes da Silva Heart Institute (InCor), Hospital das Clínicas, University of Sao Paulo Medical School, Thoracic Surgery - SP, Brazil https://orcid.org/0000-0002-8979-5035

DOI:

https://doi.org/10.48729/pjctvs.404

Keywords:

pectus carinatum, minimally invasive repair, surgical technique

Abstract

Introduction: Minimally invasive repair of pectus carinatum (MIRPC) has been performed using the Abramson technique in which the bar that compresses the sternum is fixed with steel wires on the ribs. A 14-year-old patient underwent to a MIRPC using a sandwich technique in which two metallic bars fixed with bridges were implanted below the sternum under thoracoscopic vision, and another bar in a subcutaneous tunnel was implanted above. This technique has the potential to avoid specific problems related to the original technique like loosening of support for correction (broken wire), avoidance of induction of pectus excavatum or subcutaneous tissue adhesion.

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References

Park HJ, Kim KS. The sandwich technique for repair of pectus carinatum and excavatum/carinatum complex. Ann Cardiothorac Surg. 2016 Sep;5(5):434-439. doi: 10.21037/acs.2016.08.04. PMID: 27747176; PMCID: PMC5056943.

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Tedde ML, Togoro SY, Eisinger RS, Okumura EM, Fernandes A, Pêgo-Fernandes PM, Campos JRM. Back to the future: a case series of minimally invasive repair of pectus excavatum with regular instruments. J Bras Pneumol. 2019 Feb 11;45(1):e20170373. doi: 10.1590/1806-3713/e20170373. PMID: 30758428; PMCID: PMC6534412.

Park HJ, Kim KS. The sandwich technique for repair of pectus carinatum and excavatum/carinatum complex. Ann Cardiothorac Surg. 2016 Sep;5(5):434-439. doi: 10.21037/acs.2016.08.04. PMID: 27747176; PMCID: PMC5056943.

Geraedts TCM, Daemen JHT, Vissers YLJ, Hulsewé KWE, Van Veer HGL, Abramson H, de Loos ER. Minimally invasive repair of pectus carinatum by the Abramson method: A systematic review. J Pediatr Surg. 2022 Oct;57(10):325-332. doi: 10.1016/j. jpedsurg.2021.11.028. Epub 2021 Dec 5. PMID: 34969524.

de Carvalho RLC, Tedde ML, de Campos JRM, Hamilton NN, Guilherme GF, Sousa VM, Junior VFS, Savazzi FH, Pego-Fernandes PM. Quality of life outcomes after minimally invasive repair of pectus excavatum utilizing a new set of metallic bars and stabilizers. J Pediatr Surg. 2021 Mar;56(3):545-549. doi: 10.1016/j.jpedsurg.2020.06.036. Epub 2020 Jun 30. PMID: 32711943.

Katrancioglu O, Akkas Y, Karadayi S, Sahin E, Kaptanoğlu M. Is the Abramson technique effective in pectus carinatum repair? Asian J Surg. 2018 Jan;41(1):73-76. doi: 10.1016/j.asjsur.2016.09.008. Epub 2016 Nov 4. PMID: 27825548.

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Published

13-05-2024

How to Cite

1.
Diaz YL, Ramos TM, Tedde ML, Gomes da Silva DA. The The Sandwich Technique For Minimally Invasive Repair Of Pectus Carinatum. Rev Port Cir Cardiotorac Vasc [Internet]. 2024 May 13 [cited 2024 May 21];31(1):53-5. Available from: https://pjctvs.com/index.php/journal/article/view/404

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