[The results of the Ravitch-Sutherland technic for surgical correction in pectus excavatum].
The aim of our study was to assess the functional and cosmetic results after performing a modified Ravitch-Sutherland procedure in children presenting with excavatum. A series of 31 children with ages ranging between 5 and 16 years, presenting with pectus excavatum, were operated between 1986-1996 in our service. In 5 cases surgical treatment was required by the presence of respiratory and/or cardiac functional impairment due to the malformation. In the other 23 cases operation was performed mainly for cosmetic reasons. In all cases a modified Ravitch-Sutherland procedure was performed. Modification consisted in renouncing at the plicature of the perichondra and in associating a diaphragmatic elongation and Bedouelle laparoplasty in all cases. Longitudinal sternotomy was performed in 2 cases with severely impaired ventilatory capacity. Functional and cosmetic results were good in all cases. In 2 cases, in which recurrence of the condition was observed, a second identical procedure was performed, with a good result. The interval between the operation and the moment of long-term evaluation ranged between 3 months and 11 years. We conclude that the modified Ravitch-Sutherland procedure represents an effective method for the treatment of pectus excavatum cases, offering good functional and cosmetic long-term results.
Goţia
D G
DG
Facultatea de Medicină, Clinica de chirurgie şi ortopedie pediatrică Iaşi, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi.
Aprodu
S G
SG
Savu
B
B
Nedelcu
D
D
Bejenaru
T
T
Filip
F
F
Munteanu
V
V
Paiu
C
C
Frasin
M
M
Georgescu
M
M
D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005660:Funnel Chest / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D012008:Recurrence; D012189:Retrospective Studies; D013997:Time Factors