"Minimally invasive repair of pectus excavatum"@en . . "0069-2328" . "Minim\u00E1ln\u011B invazivn\u00ED operace vp\u00E1\u010Den\u00E9ho hrudn\u00EDku"@cs . "Haller index; minimally invasive repair of pectus excavatum; pectus excavatum"@en . "http://www.prolekare.cz/cesko-slovenska-pediatrie-clanek/minimalne-invazivni-operace-vpaceneho-hrudniku-47305" . "Minimally invasive repair of pectus excavatum"@en . "Minim\u00E1ln\u011B invazivn\u00ED operace vp\u00E1\u010Den\u00E9ho hrudn\u00EDku"@cs . "Minim\u00E1ln\u011B invazivn\u00ED operace vp\u00E1\u010Den\u00E9ho hrudn\u00EDku" . "Abstrakt \u00DA\u010Del: Miniinvazivn\u00ED technika operace vp\u00E1\u010Den\u00E9ho hrudn\u00EDku (MIRPE - minimally invasive repair of pectus excavatum) se stala nov\u00FDm standardem pro plastiku vp\u00E1\u010Den\u00E9ho hrudn\u00EDku (PE). C\u00EDlem pr\u00E1ce je sezn\u00E1men\u00ED d\u011Btsk\u00FDch l\u00E9ka\u0159\u016F s novou opera\u010Dn\u00ED metodou a zhodnocen\u00ED v\u00FDsledk\u016F u d\u011Bt\u00ED a adolescent\u016F. Metody: Technika MIRPE dosahuje korekce deformity PE postupn\u00FDm p\u016Fsoben\u00EDm retrostern\u00E1ln\u00ED konvexn\u00ED dlahy. Dlaha se zav\u00E1d\u00ED z mal\u00FDch later\u00E1ln\u00EDch \u0159ez\u016F na hrudn\u00EDku pod thorakoskopickou kontrolou a p\u0159i operaci se neprov\u00E1d\u00ED resekce chrupavek. Korek\u010Dn\u00ED dlaha se ponech\u00E1v\u00E1 3 roky, b\u011Bhem kter\u00FDch dojde k trval\u00E9 remodelaci deformovan\u00FDch chrupavek. Retrospektivn\u00ED studie dat ze zdravotnick\u00E9 dokumentace, zobrazovac\u00EDho a klinick\u00E9ho vy\u0161et\u0159en\u00ED analyzovala bezpe\u010Dnost a \u00FA\u010Dinnost metody MIRPE u 204 adolescent\u016F operovan\u00FDch pro PE. V\u00FDsledky: V obdob\u00ED 2005-2012 byla operace MIRPE provedena u 31 d\u00EDvek a 173 chlapc\u016F, pr\u016Fm\u011Brn\u00FD v\u011Bk v dob\u011B operace byl 16,6 rok\u016F (rozsah 13-28). Pr\u016Fm\u011Brn\u00FD Haller\u016Fv index byl 4,7 (rozmez\u00ED 2,7-20,5). Nej\u010Dast\u011Bj\u0161\u00ED komplikac\u00ED byl pneumothorax (3,4 %), mezi m\u00E9n\u011B \u010Dast\u00E9 pat\u0159ila atelekt\u00E1za (1,4 %), fluidothorax (0,5 %) a poran\u011Bn\u00ED pl\u00EDce (0,5 %). K ran\u00FDm komplikac\u00EDm pat\u0159ily absces (2,5 %), dehiscence (1 %) a serom (0,5 %). Dislokaci dlahy jsme zaznamenali ve 2 %. Nejv\u00E1\u017En\u011Bj\u0161\u00ED komplikac\u00ED bylo poran\u011Bn\u00ED srdce u 16let\u00E9 d\u00EDvky. Perforace prav\u00E9 s\u00EDn\u011B si u n\u00ED vy\u017E\u00E1dala urgentn\u00ED opera\u010Dn\u00ED revizi, po kter\u00E9 se zhojila bez komplikac\u00ED. Z\u00E1v\u011Br: Deformita vp\u00E1\u010Den\u00E9ho hrudn\u00EDku m\u016F\u017Ee v\u00FDznamn\u011B ovliv\u0148ovat fyzickou a psychickou kvalitu \u017Eivota dosp\u00EDvaj\u00EDc\u00EDch a ve vybran\u00FDch p\u0159\u00EDpadech m\u016F\u017Ee b\u00FDt l\u00E9\u010Dena chirurgicky. Miniinvazivn\u00ED operace vp\u00E1\u010Den\u00E9ho hrudn\u00EDku metodou MIRPE je bezpe\u010Dnou metodou, s n\u00EDzk\u00FDm rizikem komplikac\u00ED, kter\u00E1 sni\u017Euje opera\u010Dn\u00ED z\u00E1t\u011B\u017E a m\u00E1 lep\u0161\u00ED kosmetick\u00E9 v\u00FDsledky."@cs . "V\u011B\u017En\u00EDkov\u00E1, Veronika" . "\u010Ceskoslovensk\u00E1 pediatrie" . . "RIV/00064203:_____/13:10193626!RIV14-MZ0-00064203" . . . "Minim\u00E1ln\u011B invazivn\u00ED operace vp\u00E1\u010Den\u00E9ho hrudn\u00EDku" . "Abstrakt \u00DA\u010Del: Miniinvazivn\u00ED technika operace vp\u00E1\u010Den\u00E9ho hrudn\u00EDku (MIRPE - minimally invasive repair of pectus excavatum) se stala nov\u00FDm standardem pro plastiku vp\u00E1\u010Den\u00E9ho hrudn\u00EDku (PE). C\u00EDlem pr\u00E1ce je sezn\u00E1men\u00ED d\u011Btsk\u00FDch l\u00E9ka\u0159\u016F s novou opera\u010Dn\u00ED metodou a zhodnocen\u00ED v\u00FDsledk\u016F u d\u011Bt\u00ED a adolescent\u016F. Metody: Technika MIRPE dosahuje korekce deformity PE postupn\u00FDm p\u016Fsoben\u00EDm retrostern\u00E1ln\u00ED konvexn\u00ED dlahy. Dlaha se zav\u00E1d\u00ED z mal\u00FDch later\u00E1ln\u00EDch \u0159ez\u016F na hrudn\u00EDku pod thorakoskopickou kontrolou a p\u0159i operaci se neprov\u00E1d\u00ED resekce chrupavek. Korek\u010Dn\u00ED dlaha se ponech\u00E1v\u00E1 3 roky, b\u011Bhem kter\u00FDch dojde k trval\u00E9 remodelaci deformovan\u00FDch chrupavek. Retrospektivn\u00ED studie dat ze zdravotnick\u00E9 dokumentace, zobrazovac\u00EDho a klinick\u00E9ho vy\u0161et\u0159en\u00ED analyzovala bezpe\u010Dnost a \u00FA\u010Dinnost metody MIRPE u 204 adolescent\u016F operovan\u00FDch pro PE. V\u00FDsledky: V obdob\u00ED 2005-2012 byla operace MIRPE provedena u 31 d\u00EDvek a 173 chlapc\u016F, pr\u016Fm\u011Brn\u00FD v\u011Bk v dob\u011B operace byl 16,6 rok\u016F (rozsah 13-28). Pr\u016Fm\u011Brn\u00FD Haller\u016Fv index byl 4,7 (rozmez\u00ED 2,7-20,5). Nej\u010Dast\u011Bj\u0161\u00ED komplikac\u00ED byl pneumothorax (3,4 %), mezi m\u00E9n\u011B \u010Dast\u00E9 pat\u0159ila atelekt\u00E1za (1,4 %), fluidothorax (0,5 %) a poran\u011Bn\u00ED pl\u00EDce (0,5 %). K ran\u00FDm komplikac\u00EDm pat\u0159ily absces (2,5 %), dehiscence (1 %) a serom (0,5 %). Dislokaci dlahy jsme zaznamenali ve 2 %. Nejv\u00E1\u017En\u011Bj\u0161\u00ED komplikac\u00ED bylo poran\u011Bn\u00ED srdce u 16let\u00E9 d\u00EDvky. Perforace prav\u00E9 s\u00EDn\u011B si u n\u00ED vy\u017E\u00E1dala urgentn\u00ED opera\u010Dn\u00ED revizi, po kter\u00E9 se zhojila bez komplikac\u00ED. Z\u00E1v\u011Br: Deformita vp\u00E1\u010Den\u00E9ho hrudn\u00EDku m\u016F\u017Ee v\u00FDznamn\u011B ovliv\u0148ovat fyzickou a psychickou kvalitu \u017Eivota dosp\u00EDvaj\u00EDc\u00EDch a ve vybran\u00FDch p\u0159\u00EDpadech m\u016F\u017Ee b\u00FDt l\u00E9\u010Dena chirurgicky. Miniinvazivn\u00ED operace vp\u00E1\u010Den\u00E9ho hrudn\u00EDku metodou MIRPE je bezpe\u010Dnou metodou, s n\u00EDzk\u00FDm rizikem komplikac\u00ED, kter\u00E1 sni\u017Euje opera\u010Dn\u00ED z\u00E1t\u011B\u017E a m\u00E1 lep\u0161\u00ED kosmetick\u00E9 v\u00FDsledky." . . "88470" . . "7"^^ . "Vyhn\u00E1nek, Martin" . "\u0160najdauf, Ji\u0159\u00ED" . "RIV/00064203:_____/13:10193626" . . . . . . . . . "Aim: Minimally invasive repair of pectus excavatum (MIRPE) has become novel standard procedure for correction of pectus excavatum (PE). This report presents the surgical technique MIRPE and evaluates the results in children and adolescents. Methods: Method MIRPE is based on gradual remodeling effect of retrosternal steel bar on chest wall deformity. A convex bar is inserted through small bilateral thoracic incisions under thoracoscopic vision. After 3 years, when permanent remodeling of deformed cartilages has occurred, the bar is removed. The retrospective study of medical reports, imaging and clinical examinations analyzed safety and efficacy of MIRPE in 204 adolescent with PE. Results: During the period 2005-2012 the MIRPE was performed on 31 girls and 173 boys, the mean age at the time of surgery was 16.6 y (range 13-28 y). The mean Haller index was 4.7 (range 2.7-20.5). The most common complication was pneumothorax (3.4%), less common problems included atelectasis (1.4%), fluidothorax (0.5%), and lung injury (0.5%). The wound complications were abscess (2.5%), dehiscence (1%), and seroma (0.5%). 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, and she required urgent sternotomy with right atrial repair, she recovered well. Conclusions: Pectus excavatum deformity may significantly affect physical and mental quality of life in adolescents and in some cases can be treated surgically. Minimally invasive repair of pectus excavatum (MIRPE) is a safe method with low risk of complications, which reduces the operational stress and has better cosmetic results."@en . . "I" . "CZ - \u010Cesk\u00E1 republika" . . "6"^^ . . "6" . . "6"^^ . . . "Mixa, Vladim\u00EDr" . "68" . "Ku\u010Dera, Alexandr" . "[479FFFCD0732]" . "Rygl, Michal" .