First Iranian Experience of the Minimally Invasive Nuss Procedure for Pectus Excavatum Repair: A Case Series and Literature Review

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DAVARI HAMID REZA; Rahim Mohammad Bagher; Ershadi Reza; Rafieian Shahab; Mardani Parviz; VAKILI MOHAMMAD RAHIM; Shirinzadeh Ahmad

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Journal: IRANIAN JOURNAL OF MEDICAL SCIENCES (IJMS) Year:2018 | Volume:43 | Issue:5 Page(s): 554-559

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Title

First Iranian Experience of the Minimally Invasive Nuss Procedure for Pectus Excavatum Repair: A Case Series and Literature Review

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Keywords

Funnel chest

Minimally invasive surgical procedures

Abstract

Pectus excavatum is the most common congenital deformity of the chest wall. The most frequently used techniques include Ravitch (costochondral resection) and Nuss (minimally invasive pectus repair of pectus excavatum [MIRPE]). The Nuss technique includes using temporary metallic bars without costochondral resection to correct the chest wall deformity. Modified MIRPE can be learned easily and performed safely with few complications. There are no reports of successful MIRPE in Iran, although the Ravitch technique is well known. In the present study, we report the first Iranian experience with the modified Nuss procedure in 5 patients with pectus excavatum (age range=13– 48 y). All the patients suffered from low self-esteem, and one of them complained of low exercise capacity and occasional chest pain. With single-lung ventilation and sternal elevation, an introducer was entered into the right thoracic cavity and retrosternal tunneling was performed under thoracoscopic vision. The introducer was passed to the left thoracic cavity and exited on the left thoracic wall. A titanium plate bar was implanted and fixed with stabilizers. There were no cases of mortality, and all the patients were discharged in good conditions within 2 weeks. Postoperative complications consisted of 1 case of pneumothorax and 2 cases of fixed bar protrusion. The present case series indicated that a skilled thoracoscopic surgeon is able to do the Nuss procedure in Iranian patients with symmetrical pectus excavatum with few complications. However, mixed or redo cases require more expertise.

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APA: Copy

DAVARI, HAMID REZA, Rahim, Mohammad Bagher, Ershadi, Reza, Rafieian, Shahab, Mardani, Parviz, VAKILI, MOHAMMAD RAHIM, & Shirinzadeh, Ahmad. (2018). First Iranian Experience of the Minimally Invasive Nuss Procedure for Pectus Excavatum Repair: A Case Series and Literature Review. IRANIAN JOURNAL OF MEDICAL SCIENCES (IJMS), 43(5), 554-559. SID. https://sid.ir/paper/758449/en

Vancouver: Copy

DAVARI HAMID REZA, Rahim Mohammad Bagher, Ershadi Reza, Rafieian Shahab, Mardani Parviz, VAKILI MOHAMMAD RAHIM, Shirinzadeh Ahmad. First Iranian Experience of the Minimally Invasive Nuss Procedure for Pectus Excavatum Repair: A Case Series and Literature Review. IRANIAN JOURNAL OF MEDICAL SCIENCES (IJMS)[Internet]. 2018;43(5):554-559. Available from: https://sid.ir/paper/758449/en

IEEE: Copy

HAMID REZA DAVARI, Mohammad Bagher Rahim, Reza Ershadi, Shahab Rafieian, Parviz Mardani, MOHAMMAD RAHIM VAKILI, and Ahmad Shirinzadeh, “First Iranian Experience of the Minimally Invasive Nuss Procedure for Pectus Excavatum Repair: A Case Series and Literature Review,” IRANIAN JOURNAL OF MEDICAL SCIENCES (IJMS), vol. 43, no. 5, pp. 554–559, 2018, [Online]. Available: https://sid.ir/paper/758449/en

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