OPERATIVE CORRECTION OF PECTUS EXCAVATUM - EXPERIENCE AT THE CHILDRENS HOSPITAL OF BREMEN

被引:1
作者
VONDEROELSNITZ, G
机构
[1] Kinderklinik am Zentralkrankenhaus Bremen, Bremen, D-2800
关键词
operation; Pectus excavatum; Rehbein; Sternum fixation;
D O I
10.1007/BF00179652
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The Rehbein operation for pectus excavatum has been in use at the Children's Hospital of Bremen since 1955. This procedure involves presternal sternum fixation: after mobilization of the concavity, the elevated sternum is held in a position of slight overcorrection by steel splints and metal bands that are left in place for 3 years. The operation is most likely to succeed in children between 6 and 8 years or over 12 years of age. Surgery is indicated for all severe deformities; moderate forms should be operated upon only when ventilation disturbance, cardiac displacement, or psychological disorders are present. The operative results with this procedure are comparable to those achieved by other operations: we had good results in 69.2%, satisfactory in 18.3% and poor in 12.5% of cases. © 1990 Springer-Verlag.
引用
收藏
页码:150 / 155
页数:6
相关论文
共 24 条
  • [1] Abraham J., Novak K., Pectus excavatum planum, Rozhl Chir, 47, (1968)
  • [2] Backer O., Brunner S., Larsen V., Radiological evaluation of funnel chest, Acta Radiol, 55, (1961)
  • [3] Bauermeister A., Zur kinderchirurgischen Behandlung der Trichterbrust, Bruns Beitr Klin Chir, 319, (1972)
  • [4] Gaubert J., Migueres J., Bardier M., Dahan M., Vetillard R., Surgical treatment of funnel chest, Poumon, 34, (1978)
  • [5] Geisbe H., Mildenberger H., Flach A., Die Trichterbrust. Indikation zur operativen Korrektur und günstige Zeitwahl für die Operation, Z Kinderchir, 7, (1969)
  • [6] Gaubert J., Pasquie M., Migu-Ere J., Petel B., Gaubert J.H., Gausse G., Our experience with the surgical treatment of pectus excavatum, Arch Franc Pédiatr, 29, (1972)
  • [7] Hecker W.C.H., Dennhardt D., Operationen an der kindlichen Brust, Päd Praxis, 10, (1971)
  • [8] Hecker W.C., Poeschl U., Billinger W., Trichterbrust und Kiel-brust, Münch Med Wochenschr, 119, (1977)
  • [9] Hecker W.C.H., Procher G., Dietz H.G., Ergebnisse operativer Korrektur von Kiel- und Trichterbrust nach einer modifizierten Operationstechnik von Ravitch und Haller, Z Kinderchir, 34, (1981)
  • [10] Hladik M., Röntgenuntersuchungen bei Pectus excavatum, Fortschr Röntgenstr, 104, (1966)