Abstract

PEREZ BILLI, LUIS E et al. Nuestra experiencia con la reparación quirúrgica del pectus excavatum en la infancia. Arch. Pediatr. Urug. [online]. 2005, vol.76, n.2, pp.122-129. ISSN 1688-1249.

Summary Introduction: pectum excavatum is the most common thoracic deformity in childhood. the objective of the surgical correction is multiple: (1) Cosmetic, as the deformity, variable in its degree, alters the thoracic conformation with a tendency to the dorsal cyphosis. (2) Reduce the structural compression of the thorax and allow a normal growth of the thoracic cavity. (3) Prevent pulmonary abnormalities in severe cases. (4) Mitigate the psicological impact which adversly affects the behaviour of children and adolescents in their participation in sports and the relationship with others. Objective: communicate our experience with the surgical correction of pectus excavatum with the Adkins and Blades technique in 26 patients during April 1992 and February 2004. Material and methods: this is a retrospective and descriptive analysis of 26 patients operated applying the same surgical technique using a  stabilizing metallic rod. 14 boys and 12 girls, ages ranging from 4 to 16 years, mean of 7,5 years, were treated. In 19 cases the deformity was symmetrical, the other 7 were asymmetrical. The patients were followed up during a mean of 35,5 months, range 2 months to 12 years. Results: for the whole series excellent results were obtained in 17 patients, satisfactory in 8 and unsatisfactory in 1 patient. If we consider the gender and type of deformity we find that in girls with a symmetrical pectus in 5 cases the results were excellent and 4 were satisfactory. For boys in 7 cases of symmetrical deformity the results were excellent and in 2 satisfactory. For the assymetrical presentation, in the 3 girls the results were excellent and in the boys 2 were excellent and 2 were satisfactory. The only unsatisfactory result was in a boy with a symmetrical deformity. The mean hospitalization was of 6 days. Conclusions: the procedure we have used has demonstrated good results, with a minimum morbility and no mortality, either for the symmetrical as asimmetrical deformity.

Keywords : FUNNEL CHEST.

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