Hospital de Urgência e Emergência, Thoracic Surgery Department, Vitória, Espírito Santo, Brazil; Vitoria Apart Hospital, Vitoria, ES, Brazil.
Heart Institute (InCor), Hospital das Clínicas, University of Sao Paulo Medical School, Thoracic Surgery - SP, Brazil; Instituto Pensi, Hospital Infantil Sabará, São Paulo, Brazil.
Port J Card Thorac Vasc Surg. 2024 May 13;31(1):53-55. doi: 10.48729/pjctvs.404.
Minimally invasive repair of pectus carinatum (MIRPC) has been performed using the Abramson technique in which the bar that compresses the sternum is fixed with steel wires on the ribs. A 14-year-old patient underwent to a MIRPC using a sandwich technique in which two metallic bars fixed with bridges were implanted below the sternum under thoracoscopic vision, and another bar in a subcutaneous tunnel was implanted above. This technique has the potential to avoid specific problems related to the original technique like loosening of support for correction (broken wire), avoidance of induction of pectus excavatum or subcutaneous tissue adhesion.
鸡胸微创矫正术（MIRPC）采用 Abramson 技术进行，该技术通过钢丝将胸骨下的矫正器固定在肋骨上。一名 14 岁的患者接受了一种三明治技术的 MIRPC，该技术在胸腔镜下将两条带有桥接器的金属棒植入胸骨下方，在胸骨上方植入另一条皮下隧道中的金属棒。这种技术有可能避免与原始技术相关的特定问题，如支撑矫正的松动（钢丝断裂）、避免凹陷或皮下组织粘连。
