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Davari, Hamidreza, Rahim, Mohammad Bagher, Ershadi, Reza, Rafieian, Shahab, Mardani, Parviz, Vakili, Mohammad Rahim, Shirinzadeh, Ahmad. (1397). First Iranian Experience of the Minimally Invasive Nuss Procedure for Pectus Excavatum Repair: A Case Series and Literature Review. سامانه مدیریت نشریات علمی, 43(5), 554-559. doi: 10.30476/ijms.2018.40567
Hamidreza Davari; Mohammad Bagher Rahim; Reza Ershadi; Shahab Rafieian; Parviz Mardani; Mohammad Rahim Vakili; Ahmad Shirinzadeh. "First Iranian Experience of the Minimally Invasive Nuss Procedure for Pectus Excavatum Repair: A Case Series and Literature Review". سامانه مدیریت نشریات علمی, 43, 5, 1397, 554-559. doi: 10.30476/ijms.2018.40567
Davari, Hamidreza, Rahim, Mohammad Bagher, Ershadi, Reza, Rafieian, Shahab, Mardani, Parviz, Vakili, Mohammad Rahim, Shirinzadeh, Ahmad. (1397). 'First Iranian Experience of the Minimally Invasive Nuss Procedure for Pectus Excavatum Repair: A Case Series and Literature Review', سامانه مدیریت نشریات علمی, 43(5), pp. 554-559. doi: 10.30476/ijms.2018.40567
Davari, Hamidreza, Rahim, Mohammad Bagher, Ershadi, Reza, Rafieian, Shahab, Mardani, Parviz, Vakili, Mohammad Rahim, Shirinzadeh, Ahmad. First Iranian Experience of the Minimally Invasive Nuss Procedure for Pectus Excavatum Repair: A Case Series and Literature Review. سامانه مدیریت نشریات علمی, 1397; 43(5): 554-559. doi: 10.30476/ijms.2018.40567

First Iranian Experience of the Minimally Invasive Nuss Procedure for Pectus Excavatum Repair: A Case Series and Literature Review

Iranian Journal of Medical Sciences
مقاله 14، دوره 43، شماره 5، آذر 2018، صفحه 554-559    اصل مقاله (937.98 K)
نوع مقاله: Case Series
شناسه دیجیتال (DOI): 10.30476/ijms.2018.40567
نویسندگان
Hamidreza Davari* 1؛ Mohammad Bagher Rahim1؛ Reza Ershadi1؛ Shahab Rafieian1؛ Parviz Mardani2؛ Mohammad Rahim Vakili1؛ Ahmad Shirinzadeh1
1General Thoracic Surgeon, General Thoracic Surgery Ward, Tehran University of Medical Sciences, Tehran Iran
2General Thoracic Surgeon, General Surgery Ward, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
Pectus excavatum is the most common congenital deformity of the chest wall. The most frequently used techniques include Ravitch (costochondral resection) and Nuss (minimally invasive pectus repair of pectus excavatum [MIRPE]). The Nuss technique includes using temporary metallic bars without costochondral resection to correct the chest wall deformity. Modified MIRPE can be learned easily and performed safely with few complications. There are no reports of successful MIRPE in Iran, although the Ravitch technique is well known. In the present study, we report the first Iranian experience with the modified Nuss procedure in 5 patients with pectus excavatum (age range=13–48 y). All the patients suffered from low self-esteem, and one of them complained of low exercise capacity and occasional chest pain. With single-lung ventilation and sternal elevation, an introducer was entered into the right thoracic cavity and retrosternal tunneling was performed under thoracoscopic vision. The introducer was passed to the left thoracic cavity and exited on the left thoracic wall. A titanium plate bar was implanted and fixed with stabilizers. There were no cases of mortality, and all the patients were discharged in good conditions within 2 weeks. Postoperative complications consisted of 1 case of pneumothorax and 2 cases of fixed bar protrusion. The present case series indicated that a skilled thoracoscopic surgeon is able to do the Nuss procedure in Iranian patients with symmetrical pectus excavatum with few complications. However, mixed or redo cases require more expertise.
کلیدواژه‌ها
Funnel chest؛ Minimally invasive surgical procedures؛ Iran
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