Interactive cardiovascular and thoracic surgery · 2013
Pectus tunneloscopy: making Nuss procedure for pectus excavatum safe.
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Darlong Laleng M
Аннотация
OBJECTIVES: The Nuss procedure for pectus excavatum involves the risk of cardiac injury during the creation of the retrosternal tunnel and during bar introduction or removal across the tunnel. A modified novel real-time technique for the safe introduction of the Nuss bar across the crucial retrosternal tunnel blind spot during introduction and removal is described.
METHODS: In 2012, we devised a technique for real-time endovision-guided introduction of the Nuss bar called pectus tunneloscopy. Between February 2012 and December 2012, 6 patients with pectus excavatum had their bar introduced across the tunnel using this technique.
RESULTS: This technique provided safe introduction and removal of the bar during the multiple times the bar is remodelled before final fixation.
CONCLUSIONS: Pectus tunneloscopy is a real-time endovision surgical technique, providing safe introduction of the bar across the crucial retrosternal tunnel blind spot.
METHODS: In 2012, we devised a technique for real-time endovision-guided introduction of the Nuss bar called pectus tunneloscopy. Between February 2012 and December 2012, 6 patients with pectus excavatum had their bar introduced across the tunnel using this technique.
RESULTS: This technique provided safe introduction and removal of the bar during the multiple times the bar is remodelled before final fixation.
CONCLUSIONS: Pectus tunneloscopy is a real-time endovision surgical technique, providing safe introduction of the bar across the crucial retrosternal tunnel blind spot.