Janec M, Geryk B, Kirnák J
Bratisl Lek Listy. 1989 May;90(5):383-5.
Analysis of 40-year experience with operations for pectus excavatum over the period from 1950-1988 is presented. In a series of 177 children ten different surgical approaches were used in succession. Since 1975 operations were performed exclusively by the method according to Ravitch and Welch which does not apply any fixation splints. The procedure is substantiated by the pathologico-anatomical and metabolic causes of the origin and development of inborn deformities of the chest. The operation consists of several exact procedures on the muscles, cartilages, and sternum, which have to be carried out consistently. The important parts of the surgical procedure are described. Since 1975 the method was used in 28 children, with very good and good results in 92.8%.
本文介绍了1950年至1988年期间对漏斗胸手术40年经验的分析。在一系列177名儿童中，先后采用了十种不同的手术方法。自1975年以来，手术仅采用拉维奇和韦尔奇方法，该方法不使用任何固定夹板。该手术方法有先天性胸廓畸形发生和发展的病理解剖学及代谢原因作为依据。手术包括对肌肉、软骨和胸骨进行的几个精确步骤，这些步骤必须连贯进行。文中描述了手术过程的重要部分。自1975年以来，该方法应用于28名儿童，92.8%的患儿取得了非常好和良好的效果。
