USE OF REPEREN POLYMER MESHES IN SURGICAL TREATMENT OF PECTUS EXCAVATUM

Cover Page


Cite item

Abstract

In patients with the I degree of pectus excavatum a retraction of the sternocostal complex is insignificant and does not influence the functional state of visceral organs. It is the elimination of a cosmetic defect that matters for such patients above all. There are various methods of aesthetic correction, still there is no consensus on how to perform an aesthetic thoracoplasty in patients with pectus excavatum. The purpose of this study was to develop a technique of aesthetic thoracoplasty with the use of Reperen polymer and to evaluate short-term results. Material and methods. From 2011 till 2013, 10 patients underwent thoracoplasty with the use of Reperen polymer meshes. All patients were male. At the time of the surgery their average age was 18.7 years (from 15 to 26 years old). The technique consists in laying molded Reperen mesh plates on the front surface of the sternocostal complex layer by layer. From 3 to 7 layers are formed. Results. The surgeries performed were successful. In all cases the postoperative period was smooth, with no complications observed. A good result accounted for 80% of the cases, a satisfactory result was observed in 20%. We did not observe any negative results. The implants installed were not removed, no excessive contouring was observed. Conclusion. A new technique of aesthetic thoracoplasty with the use of Reperen polymer plates was developed and implemented. It was found that this type of surgery is easily tolerable by patients, gives a good aesthetic result with a low risk of complications, and is characterized by a short hospital and rehabilitation period.

About the authors

A. V. Krupko

Nizhny Novgorod Research Institute of Traumatology and Orthopedics

Author for correspondence.
Email: krupkoav@rambler.ru
Russian Federation

A. B. Bogos’Yan

Nizhny Novgorod Research Institute of Traumatology and Orthopedics

Email: al.bogos@mail.ru
Russian Federation

M. S. Krupko

EKC MOI Russia’s Nizhny Novgorod region

Email: krupko.marina@list.ru
Russian Federation

References

  1. Виноградов А.В., Тилкин А.Е., Хаспеков Д.В. Перекрестная транспозиция реберных дуг - новый способ хирургического лечения воронкообразных деформаций грудной клетки. Детская хирургия. 2001; (4):4-6.
  2. Urmonas V.K., Kondrashin N.I. Voronkoobraznaya grudnaya kletka [The funneled chest wall]. Vilnus: Moskalas; 1983. 115 s.
  3. Felts E., Jouve J-L., Blondel B. et al. Traitement chirurgical mini-invasif du pectus excavatum chez l'enfant: resultants preliminaires à propos de 25 cas. Rev. Chir. Orttop. 2009; 95(3):227-232.
  4. Hodgkinson D.J. The management of anterior chest wall deformity in patient presenting for breast augmentation. Plast Reconstr Surg. 2002; 109:1714.
  5. Horch R.E., Stoelben E., Carbon R., et al. Pectus excavatum breast and chest deformity: indications for aesthetic plastic surgery versus thoracic surgery in a multicenter experience. Aesthetic Plast. Surg. 2006; 30:403-411.
  6. Nordquist J., Svensson H., Johnsson M. Silastic implant for reconstruction of pectus excavatum: an update. Scan. J. Plast. Reconstr. Surg. Hand Surg. 2001;35:65-69.
  7. Shulman A.G., Amid P.K., Lichtenstein I.L. The safety of mesh repair for primary inguinal hernias: results of 3,019 operations from five diverse surgical sources. Am. Surg. 1992;58(4):255-257.
  8. Snel B., Spronk C., Werker P. Pectus excavatum reconstruction with silicone implants. Long-term results and the review of the english-language literature. Ann. Plast. Surg. 2009;62:205-209.
  9. Wechselberger G., Ohlbauer M., Haslinger J. et al. Silicone implant correction of pectus excavatum. Ann. Plast. Surg. 2001;47:489-493.

Copyright (c)



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies