Técnica mínimamente invasiva para corrección de pectus carinatum y excavatum. Hospital infantil universitario de San José

Abstract

Introduction: the most frequent congenital deformities of the thoracic wall are pectus excavatum (TI), pectus carinatum (TQ) and cleft sternum, whose treatment is surgical. Objective: to describe the technique of minimally invasive surgery for the correction of the first two defects and the experience in the Children's Hospital of San José Bogotá DC, from 2008 to 2011. Materials and methods: report of nine patients with pectus carinatum and pectus excavatum, pre-surgical evaluation, surgical intervention and postoperative assessment, analyzing the functional and aesthetic results, with a follow-up of twelve months. Results: average age 10.8 years (SD: 1.2 years), five men, four women; six pectus excavatum and three pectus carinatum. On average the Haller index was 3.75 (SD: 0.5), the operative time 173 minutes (SD: 51.9 mio) and the hospital stay five days (SD: 3.6). There was a complication: (displacement of the bar) and in the follow-up the patients were asymptomatic and satisfied with the treatment. Conclusions: the experience shows a reduction in operative time and hospital stay, with minor complications and satisfactory clinical and psychological results. Abbreviations: PC, pectus carinatum; PE, pectus excavatum; IH, Haller's index.