Surgical correction of pectus excavatum. How did we get here? Where are we going?
The currently applied techniques recommended for the repair of pectus excavatum anomalies are discussed, set against a historical review of early clinical studies and surgical interventions. The issues of the future direction pectus excavatum surgery may take are analyzed in detail, with the reviewer expressing reservations in connection with the recent trend to closed repair and concern over the potential for serious complications associated with the application of this technique.
Department of Thoracic and Cardiovascular Surgery, Carolinas Medical Center, Charlotte, North Carolina 28203, USA. francis.robicsek@carolinashealthcare.org
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D001317:Austria; D001672:Biocompatible Materials / Q000266:history; D005660:Funnel Chest / Q000266:history* / Q000601:surgery; D049670:History, 17th Century; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D049691:History, Medieval; D006801:Humans; D009984:Orthopedic Fixation Devices / Q000266:history; D019637:Orthopedic Procedures / Q000266:history* / Q000379:methods; D019736:Prostheses and Implants / Q000266:history; D019651:Plastic Surgery Procedures / Q000266:history* / Q000379:methods / Q000639:trends; D013030:Spain; D013249:Sternum / Q000601:surgery; D013557:Switzerland; D019616:Thoracic Surgical Procedures / Q000266:history* / Q000379:methods / Q000639:trends; D035441:Thoracic Wall / Q000601:surgery; D016896:Treatment Outcome; D014481:United States
D001672:Biocompatible Materials