SATS 2009 Final Program - Scandinavian Association for Thoracic ...

S09:7
SURGICAL CORRECTION OF PECTUS EXCAVATUM AND CARINATUM - SIX YEARS OF EXPERIENCES
AT KAROLINSKA UNIVERSITY HOSPITAL.
Bergman Per 1
1) Karolinska University Hospital, Sweden
Objective
The minimally invasive repair of pectus excavatum (p.e), the ”Nuss procedure” and the modified operation technique
of pectus carinatum (p.c), the ”modified Ravitch procedure”, are becoming increasingly popular and has todaybecome
well established and worldwide accepted.
Methods
Between 2004-2009, 76 patients in the county of Stockholm were operated at Karolinska (KS) and Clinica
Vistahermosa (CV), Spain by the same surgeon. 46 cases with p.e were operated at KS and 10 cases were operated
at CV. 8 cases with p.c were operated at KS and 12 cases at CV. 14 Pectus Bars (p.e) were also extracted at KS
during this time.
Results
76 patients (68 men,8 women) with mean age of 17 years (range 12-34) were included. Mean time to discharge
was 9 days (range 5-13) for Nussprocedure and 7 range (range 5-8) for modified Ravitch. Complications such as
pain > 4 weeks occured in 6 patients (8%), intrapleural fluid in 1 patients (1%), small apical pneumothorax ocurred
in 14 patients (25%) but had disappeared at the postop control 1 month later. Superficial infections localized in the
incisions in 2 patients (3%). Deeper infection leading to removal of one stabilizator and one bar removal occured in
2 patients (3%). Bars were removed after 3 years from 14 patients during this time.
Conclusion
These techniques have good outcome and few per/postoperative complications. The cosmetic results were very
satisfying and the operations have very high Quality of Life appearence which also is going to be studied further.
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