[Compressive anterior thoracoplasty (modified Abramson's repair) for pectus carinatum repair].

Abstract

OBJECTIVES:

For anterior protruding chest wall deformities treatment, mainly pectus carinatum, pediatric surgeons have been managing either orthotic methods or open surgical repairs. Anterior compressive thoracoplasty (Abramson's technique) has widened the therapeutic options. We describe herein a modification of this technique in the first reported Europen series.

PATIENTS AND METHODS:

From 2010 to 2012, a total of five patients (four male and one female) underwent a modified Abramson's technique to correct pectus carinatum or combined protrusion of the chest at our center. We report the operative technique used for these reconstructions.

RESULTS:

In all five cases, the operation was completed uneventfully and with excellent results either for the surgical team or the patients. Mean operative time was 190 minutes and hospitalization lasted for three to six days, at the time of analgesic drugs withdrawal.

CONCLUSIONS:

We consider the anterior compresive thorocoplasty (modified Abramson's technique) a safe and feasible method to correct protruding chest deformities, particularly in those patients with stiff chest or lack of compliance, in order to avoid the agressive open procedures.

• Authors: V Álvarez Muñoz, M A Prado Valle, A J López López, M A Martínez Suárez, M Oviedo Gutiérrez, C Montalvo Ávalos, L Fernández García
• Journal: Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica (Cir Pediatr) Vol. 27 Issue 2 Pg. 93-97 (Apr 15 2014) ISSN: 0214-1221 [Print] Spain
• Vernacular Title: Toracoplastia anterior compresiva (técnica de Abramson modificada) para el tratamiento del pectus carinatum.
• PMID: 27775279 (Publication Type: Case Reports, English Abstract)