AI Article Synopsis
- In pectus excavatum repair, minimally invasive endoscopic techniques are currently preferred for adolescents, but bar displacement remains a significant postoperative concern.
- A new transcostal technique utilizing absorbable sutures was tested in 36 patients, resulting in only one case of bar displacement (2.78%), which is quite low.
- This method shows comparable bar stability to existing literature while avoiding complications associated with traditional fixation methods involving metal components.
Article Abstract
In pectus excavatum, minimally invasive endoscopic repair is the current gold standard in adolescents. The main postoperative pitfall is bar displacement, making fixation a major issue. We report an original transcostal technique using absorbable USP-2 suture in 36 patients. There was a single case of bar displacement (2.78%; 95% CI: 0.07-14.53). Bar stability was comparable to literature reports; but the present technique avoided the complications potentially incurred by use of metal wire, pericostal fixation points and stabilizers.
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| http://dx.doi.org/10.1016/j.otsr.2019.10.007 | DOI Listing |
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