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Ultrasound-Guided Bar Edge Labeling in the Perioperative Assessment of Nuss Bar Removal.
Incerti, Filippo; Bertocchini, Alessia; Ghionzoli, Marco; Messineo, Antonio.
Afiliación
  • Incerti F; Department of Pediatric Surgery, Children's Hospital A. Meyer , Florence, Italy .
  • Bertocchini A; Department of Pediatric Surgery, Children's Hospital A. Meyer , Florence, Italy .
  • Ghionzoli M; Department of Pediatric Surgery, Children's Hospital A. Meyer , Florence, Italy .
  • Messineo A; Department of Pediatric Surgery, Children's Hospital A. Meyer , Florence, Italy .
J Laparoendosc Adv Surg Tech A ; 27(12): 1326-1327, 2017 Dec.
Article en En | MEDLINE | ID: mdl-29087764
ABSTRACT

INTRODUCTION:

Nuss bar removal after minimally invasive repair of pectus excavatum in patients where bar ends are not palpable, can be a challenging procedure for the surgeon; a blind dissection toward the bar edges may lead to intercostal vessels or deep intercostal muscle injuries. In this article, we describe a fast, repeatable, low-cost technique to detect bar edge and stabilizers.

METHODS:

A perioperative scan is performed by means of a portable ultrasonograph a few minutes before the operation. The bar edge stabilizer is detected as a hyperechogenic image with a concentric crescent while the bar edge is detected as a hyperechogenic dashed line with net edges. The scan is performed, and the actual projection on the skin of the metal plaque bulk is then labeled on the patient's chest by an ink marker.

CONCLUSIONS:

We believe that this method may improve morbidity, operative time, and consequently, hospitalization length and costs.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Ultrasonografía Intervencional / Procedimientos Quirúrgicos Mínimamente Invasivos / Remoción de Dispositivos / Tórax en Embudo Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: J Laparoendosc Adv Surg Tech A Año: 2017 Tipo del documento: Article País de afiliación: Italia

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Ultrasonografía Intervencional / Procedimientos Quirúrgicos Mínimamente Invasivos / Remoción de Dispositivos / Tórax en Embudo Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: J Laparoendosc Adv Surg Tech A Año: 2017 Tipo del documento: Article País de afiliación: Italia