Pectoralis Muscle Transposition in Association with the Ravitch Procedure in the Management of Severe Pectus Excavatum

Overview

Journal Plast Reconstr Surg Glob Open

Specialty General Surgery

Date 2020 Jan 17

PMID 31942373

Citations 8

Authors

Alessio Baccarani

Beatrice Aramini

Giovanni Della Casa

Federico Banchelli

Roberto DAmico

Ciro Ruggiero

Marta Starnoni

Antonio Pedone

Alessandro Stefani

Uliano Morandi

Giorgio De Santis

Affiliations

Soon will be listed here.

Abstract

Methods: From 2010 to 2016, 12 patients were treated by a modified Ravitch procedure with bilateral mobilization and midline transposition of the pectoralis muscle flap for severe PE. Outcomes, morphological results, and complications were analyzed with respect to this new combined surgical approach.

Results: There was a statistically significant difference between pre- and postoperative values ( = 0.0025) of the Haller index at the 18-month follow-up, showing a significant morphological improvement for all treated patients. After surgery, no morbidity and mortality were noted. The mean hospital stay was 7 days, and all patients were discharged without major complications.

Conclusion: This technique significantly improved patients' postoperative morphological outcomes and significantly reduced long-term complications, such as wound dehiscence, skin thinning, and hardware exposure.

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