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Experience of the Wang procedure in treating pectus excavatum in two hundred fifty-six paediatric patients.
- Source :
- International Orthopaedics; Oct2022, Vol. 46 Issue 10, p2307-2313, 7p
- Publication Year :
- 2022
-
Abstract
- Introduction: To analyze and summarize the orthopaedic effect and application experience of the Wang procedure in the treatment of pectus excavatum in paediatric patients. Methods: The clinical data of 256 children ranging from 0.83~14 years (4.89±2.83 years) who underwent the Wang procedure for pectus excavatum from January 2017 to September 2020 in our hospital were analyzed retrospectively. A 1~2-cm incision was made in front of the xiphoid, and a tunnel was constructed on the deep surface of the thoracic cage. Steel wires were inserted through the bilateral costal arch and the lower sternum, and a steel bar was placed in the tunnel. The wires were pulled taut and fixed to the bar, and the incision was sutured. Results: All the procedures were performed using one steel bar. The range of the procedure duration, the intra-operative bleeding volume, and the hospitalization stays of the patients were 18 to 45 (24.02±4.89) minutes, one to ten (2.16±1.68) mL, and three to nine days (5.71±1.35 days) respectively. Post-operative pneumothorax occurred in three cases without other complications. All the cases received follow-up for one to 45 months after discharge, during which six cases experienced poor wound healing, removed steel plate in 82 cases, and three cases of pectus excavatum recurrence. Conclusions: The Wang procedure is a good option for treating pectus excavatum, secondary pectus excavatum, or recurrent pectus excavatum in paediatric patients. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 03412695
- Volume :
- 46
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- International Orthopaedics
- Publication Type :
- Academic Journal
- Accession number :
- 159240100
- Full Text :
- https://doi.org/10.1007/s00264-022-05483-1