Abstract
Pectus excavatum and pectus carinatum of the most common anomaly of the anterior chest wall. The most effective method of correction is considered to be surgical minimally invasive thoracoplasty by Nuss and Abramson procedure. In rare cases, postoperative complications can be in form of postoperative sutures failure of and externalization of the metal bar’s. These complications require long-term treatment, and if therapy is unsuccessful, they can lead to removal of the bar’s and, as a consequence, loss of correction. From 2006 to 2022 in the 1st Surgical Department and the Department of Pediatric Surgery of Moscow Regional Research Scientifical and Clinical Institute named after M.F. Vladimirskiy (“MONIKI”) minimal invasive corrections of chest deformity in 1229 patients were performed. Postoperative wound complications, which were poorly regenerating and infected were noted in 3.1% of cases. The use of negative pressure bandages in combination with antibiotic therapy according to the antibiogram, in combination with non-steroidal anti-inflammatory and antihistamine drugs, led in 92% of cases to complete wound healing without removal of the metal bar’s. Key words: funnel-shaped deformity, carinatum deformity, wound complications, VAC system
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