Ten year experience of bioabsorbable mesh support in pectus excavatum repair.
Br J Plast Surg
; 57(8): 733-40, 2004 Dec.
Article
in En
| MEDLINE
| ID: mdl-15544770
ABSTRACT
INTRODUCTION:
We reviewed 10 years experience in the treatment of this deformity using a retro-sternal bioabsorbable mesh in place of a metallic device to lift and stabilise the sternum. Moreover, the mesh supports the thoracic and upper abdominal wall reconstruction. MATERIALS ANDMETHODS:
From January 1990 to December 2000, in our Thoracic Surgery Unit, 65 patients with PE were assessed for surgical repair, mean age 16+/- 3.5 years, fronto sagittal thoracic index (FSTI) 0.21, ranging from 0.15-0.33. Twenty-three of them underwent surgical correction after initial assessment, 22 were deferred and sent to physiotherapy. At a subsequent assessment, five of the patients sent to physiotherapy were deemed to require surgery.RESULTS:
Of the 28 patients who underwent surgery, 2 (10%) presented a mild recurrence of PE after 1 year (0.30CONCLUSIONS:
The introduction of bioabsorbable mesh in the Robicsek technique is a safe procedure related to a high percentage of success. The high tolerance of the material reduces the inflammatory reaction. Moreover, the procedure prevents patients from having complications caused by retro-sternal device dislodgment, avoiding a second intervention for device reposition and reducing the postoperative chest pain achieving an early patient mobilisation. In the end a complete reconstruction of the upper abdomen wall has been produced.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Surgical Mesh
/
Funnel Chest
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Adolescent
/
Female
/
Humans
/
Male
Language:
En
Journal:
Br J Plast Surg
Year:
2004
Type:
Article
Affiliation country:
Italy