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Statements

Subject Item
n2:RIV%2F00216208%3A11130%2F14%3A10196670%21RIV15-MSM-11130___
rdf:type
n11:Vysledek skos:Concept
rdfs:seeAlso
http://dx.doi.org/10.1007/s00383-013-3435-0
dcterms:description
The aim of study was to introduce technical innovation of MIRPE which reduces the risk of cardiac injury. Modification of MIRPE method with semiflexible thoracoscope and sternum elevating technique has been used. Volkmann bone hook has been inserted percutaneously to the sternum. The hook elevates the sternum forward and enlarges the retrosternal space for safer passage of thoracoscopically guided introducer. Using semiflexible thoracoscope allows better view from various angles via one site of insertion. During the period 2005-2012, the MIRPE was performed on 29 girls and 151 boys; the mean age at the time of surgery was 15.9 years (range 13-18.7 years). The mean Haller index was 4.7 (range 2.7-20.5). The most common complication was pneumothorax (3.3 %) and the incidence of bar displacement was 2 %. The most serious complication was cardiac perforation when inserting Lorenz introducer. This occurred in a 16-year-old girl; she required urgent sternotomy with right atrial repair and recovered well. External elevation of sternum with the hook was used since this case. Subsequent 113 patients underwent surgery without any serious complications. Technical innovation using semiflexible thoracoscope and hook elevation of the sternum reduces the risk of cardiac injury. The hook opens the anterior mediastinum space effectively and makes the following dissection relatively safe and straightforward. The aim of study was to introduce technical innovation of MIRPE which reduces the risk of cardiac injury. Modification of MIRPE method with semiflexible thoracoscope and sternum elevating technique has been used. Volkmann bone hook has been inserted percutaneously to the sternum. The hook elevates the sternum forward and enlarges the retrosternal space for safer passage of thoracoscopically guided introducer. Using semiflexible thoracoscope allows better view from various angles via one site of insertion. During the period 2005-2012, the MIRPE was performed on 29 girls and 151 boys; the mean age at the time of surgery was 15.9 years (range 13-18.7 years). The mean Haller index was 4.7 (range 2.7-20.5). The most common complication was pneumothorax (3.3 %) and the incidence of bar displacement was 2 %. The most serious complication was cardiac perforation when inserting Lorenz introducer. This occurred in a 16-year-old girl; she required urgent sternotomy with right atrial repair and recovered well. External elevation of sternum with the hook was used since this case. Subsequent 113 patients underwent surgery without any serious complications. Technical innovation using semiflexible thoracoscope and hook elevation of the sternum reduces the risk of cardiac injury. The hook opens the anterior mediastinum space effectively and makes the following dissection relatively safe and straightforward.
dcterms:title
Technical innovation in minimally invasive repair of pectus excavatum Technical innovation in minimally invasive repair of pectus excavatum
skos:prefLabel
Technical innovation in minimally invasive repair of pectus excavatum Technical innovation in minimally invasive repair of pectus excavatum
skos:notation
RIV/00216208:11130/14:10196670!RIV15-MSM-11130___
n3:aktivita
n7:I
n3:aktivity
I
n3:cisloPeriodika
1
n3:dodaniDat
n16:2015
n3:domaciTvurceVysledku
n8:5219426 n8:7735944 n8:7958900 n8:3769291
n3:druhVysledku
n10:J
n3:duvernostUdaju
n19:S
n3:entitaPredkladatele
n17:predkladatel
n3:idSjednocenehoVysledku
49431
n3:idVysledku
RIV/00216208:11130/14:10196670
n3:jazykVysledku
n12:eng
n3:klicovaSlova
Sternum elevating technique; Wolkmann bone hook; Semiflexible thoracoscope; Minimally invasive repair of pectus excavatum; Pectus excavatum
n3:klicoveSlovo
n4:Minimally%20invasive%20repair%20of%20pectus%20excavatum n4:Sternum%20elevating%20technique n4:Semiflexible%20thoracoscope n4:Wolkmann%20bone%20hook n4:Pectus%20excavatum
n3:kodStatuVydavatele
CH - Švýcarská konfederace
n3:kontrolniKodProRIV
[76C599E2AB67]
n3:nazevZdroje
Pediatric Surgery International
n3:obor
n15:FG
n3:pocetDomacichTvurcuVysledku
4
n3:pocetTvurcuVysledku
6
n3:rokUplatneniVysledku
n16:2014
n3:svazekPeriodika
30
n3:tvurceVysledku
Vyhnánek, Martin Kynčl, Martin Rygl, Michal Mixa, Vladimír Šnajdauf, Jiří Kučera, Alexandr
n3:wos
000329237900015
s:issn
0179-0358
s:numberOfPages
5
n18:doi
10.1007/s00383-013-3435-0
n14:organizacniJednotka
11130