Frediani Simone, Beati Federico, Pardi Valerio, Aloi Ivan Pietro, Bertocchini Arianna, Accinni Antonella, Reali Simone, Schingo Paolo Maria Salvatore, Inserra Alessandro
General and Thoracic Pediatric Surgery Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Department of Anesthesia and Critical Care, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Front Surg. 2024 Jan 12;10:1343515. doi: 10.3389/fsurg.2023.1343515. eCollection 2023.
About 95% of congenital chest wall deformities are pectus abnormalities, with pectus excavatum (PE) being the most common. The purpose of this work is to offer a modified Taulinoplasty Technique based on 35 consecutive PE patients' 1-year single-center experience in 2022.
One minimally invasive procedure for PE is taulinoplasty. In order to prevent invasion of the mediastinum or pleural cavity, it is considered that external traction can be used to raise the sternum. Our experience indicates that the most common surgical consequences of this procedure-which involves creating a submuscular and subcutaneous tunnel to install the metal device-are post-operative seroma and wound dehiscence. We modified the conventional method to achieve more aesthetically pleasing results.
Taulinoplasty seems to be a safe technique, easier and more feasible than standard Taulinoplasty, with better outcomes in terms of surgical complications, although further experience is necessary to confirm our preliminary data.
约95%的先天性胸壁畸形为漏斗胸异常，其中漏斗胸（PE）最为常见。本文旨在基于2022年连续35例漏斗胸患者的单中心1年经验，提供一种改良的陶林成形术技术。
漏斗胸的一种微创手术是陶林成形术。为防止纵隔或胸腔受侵，可考虑使用外部牵引来抬高胸骨。我们的经验表明，该手术（包括创建肌下和皮下隧道以安装金属装置）最常见的手术后果是术后血清肿和伤口裂开。我们对传统方法进行了改良，以获得更美观的效果。
陶林成形术似乎是一种安全的技术，比标准陶林成形术更简便、更可行，在手术并发症方面有更好的效果，不过需要更多经验来证实我们的初步数据。
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