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Pectus excavatum repair according to Nuss : is it safe to place a retrosternal bar by a transpleural approach, under thoracoscopic vision?

Becmeur, François and Ferreira, Cindy Gomes and Haecker, Frank-Martin and Schneider, Anne and Lacreuse, Isabelle. (2011) Pectus excavatum repair according to Nuss : is it safe to place a retrosternal bar by a transpleural approach, under thoracoscopic vision? Journal of laparoendoscopic & advanced surgical techniques, Vol. 21, H. 8. pp. 757-761.

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Official URL: http://edoc.unibas.ch/dok/A6005884

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Abstract

We present a new case of cardiac perforation during retrosternal dissection beginning a Nuss procedure for pectus excavatum repair in an 18-year-old boy. The true incidence of life-threatening complications, such as heart injuries during Nuss bar placement for pectus excavatum repair, as well as cardiac lacerations during removal of the bar, remains unknown. Many papers suggest measures to prevent these complications: approaching the retrosternal space through an additional subxiphoid short incision, lifting the sternum during bar placement, or placing the bar extrapleuraly. Nuss procedure is gaining more and more popularity due to its apparent simplicity; however, its operational complications should be well known and discussed to be avoided later on.
Faculties and Departments:03 Faculty of Medicine > Bereich Kinder- und Jugendheilkunde (Klinik) > Kinder- und Jugendheilkunde (UKBB) > Kinderchirurgie (Holland-Cunz)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Kinder- und Jugendheilkunde (Klinik) > Kinder- und Jugendheilkunde (UKBB) > Kinderchirurgie (Holland-Cunz)
UniBasel Contributors:Häcker, Frank-Martin
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Mary Ann Liebert
ISSN:1092-6429
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:25 Oct 2013 08:33
Deposited On:25 Oct 2013 08:33

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