title: [The results of the Ravitch-Sutherland technic for surgical correction in pectus excavatum].
abstract: 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.
authors.affiliation: Facultatea de Medicină, Clinica de chirurgie şi ortopedie pediatrică Iaşi, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi.
authors.forename: D G
authors.initials: DG
authors.lastname: Goţia
authors.forename: S G
authors.initials: SG
authors.lastname: Aprodu
authors.forename: B
authors.initials: B
authors.lastname: Savu
authors.forename: D
authors.initials: D
authors.lastname: Nedelcu
authors.forename: T
authors.initials: T
authors.lastname: Bejenaru
authors.forename: F
authors.initials: F
authors.lastname: Filip
authors.forename: V
authors.initials: V
authors.lastname: Munteanu
authors.forename: C
authors.initials: C
authors.lastname: Paiu
authors.forename: M
authors.initials: M
authors.lastname: Frasin
authors.forename: M
authors.initials: M
authors.lastname: Georgescu
mesh_terms: 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