The Sternal Turn Over Procedure with Preservation of the Internal Mammary Vessel and Rectus Abdominis Muscle Pedicles for the Repair of Severe Pectus Excavatum

Pectus excavatum or funnel chest is one of the most common congenital chest wall deformities. Surgical correction should be considered for all patients with moderate to severe deformities because of the significant cosmetic and psychological improvement, subjective increase in exercise tolerance, d...

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Main Authors: Teeravit Phanchaipetch, Woravong Slisatkorn, Punnarerk Thongchareon, Thaworn Subtaweesin, Samphant Pornvilawan, Pansak Laksanabunsong, Somchai Sriyoschati
Format: Article
Language:English
Published: Mahidol University 2002-01-01
Series:Siriraj Medical Journal
Subjects:
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Online Access:https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/244995
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spelling doaj-dbd07270b7af41eb9151c70d998d071c2021-08-13T10:10:03ZengMahidol UniversitySiriraj Medical Journal2228-80822002-01-01541The Sternal Turn Over Procedure with Preservation of the Internal Mammary Vessel and Rectus Abdominis Muscle Pedicles for the Repair of Severe Pectus ExcavatumTeeravit Phanchaipetch0Woravong Slisatkorn1Punnarerk Thongchareon2Thaworn Subtaweesin3Samphant Pornvilawan4Pansak Laksanabunsong5Somchai Sriyoschati6Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University Pectus excavatum or funnel chest is one of the most common congenital chest wall deformities. Surgical correction should be considered for all patients with moderate to severe deformities because of the significant cosmetic and psychological improvement, subjective increase in exercise tolerance, documented changes in the cardiac and respiratory status, and prevention of the development of scoliosis after surgical intervention in these patients.      The sternal turn over procedure with preserved internal mammary vessels and rectus abdominis muscle pedicles for the corrective repair of severe pectus excavatum, involves resection of the deformed thoracic wall, sternum and ribs, preserving an attachment of the rectus abdominis muscle,and a vascular pedicle of the internal mammary vessel. A short segment resection above the ipsilateralcostal cartilage is mandatory to allow reposition of the vascular pedicle onto the presternal surface after turn over of the sternum. Multiple corrective osteotomy and costoplasty must be completed before refixing the sternum and ribs.      The modified sternal turn over procedure restores the sternal blood supply and should be applied to the severe form of pectus excavatum which needs extensive and multiple bony resection. The procedure has been applied to a boy and a girl aged 5 years. At a three year follow up, the results obtained are excellent. https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/244995-
collection DOAJ
language English
format Article
sources DOAJ
author Teeravit Phanchaipetch
Woravong Slisatkorn
Punnarerk Thongchareon
Thaworn Subtaweesin
Samphant Pornvilawan
Pansak Laksanabunsong
Somchai Sriyoschati
spellingShingle Teeravit Phanchaipetch
Woravong Slisatkorn
Punnarerk Thongchareon
Thaworn Subtaweesin
Samphant Pornvilawan
Pansak Laksanabunsong
Somchai Sriyoschati
The Sternal Turn Over Procedure with Preservation of the Internal Mammary Vessel and Rectus Abdominis Muscle Pedicles for the Repair of Severe Pectus Excavatum
Siriraj Medical Journal
-
author_facet Teeravit Phanchaipetch
Woravong Slisatkorn
Punnarerk Thongchareon
Thaworn Subtaweesin
Samphant Pornvilawan
Pansak Laksanabunsong
Somchai Sriyoschati
author_sort Teeravit Phanchaipetch
title The Sternal Turn Over Procedure with Preservation of the Internal Mammary Vessel and Rectus Abdominis Muscle Pedicles for the Repair of Severe Pectus Excavatum
title_short The Sternal Turn Over Procedure with Preservation of the Internal Mammary Vessel and Rectus Abdominis Muscle Pedicles for the Repair of Severe Pectus Excavatum
title_full The Sternal Turn Over Procedure with Preservation of the Internal Mammary Vessel and Rectus Abdominis Muscle Pedicles for the Repair of Severe Pectus Excavatum
title_fullStr The Sternal Turn Over Procedure with Preservation of the Internal Mammary Vessel and Rectus Abdominis Muscle Pedicles for the Repair of Severe Pectus Excavatum
title_full_unstemmed The Sternal Turn Over Procedure with Preservation of the Internal Mammary Vessel and Rectus Abdominis Muscle Pedicles for the Repair of Severe Pectus Excavatum
title_sort sternal turn over procedure with preservation of the internal mammary vessel and rectus abdominis muscle pedicles for the repair of severe pectus excavatum
publisher Mahidol University
series Siriraj Medical Journal
issn 2228-8082
publishDate 2002-01-01
description Pectus excavatum or funnel chest is one of the most common congenital chest wall deformities. Surgical correction should be considered for all patients with moderate to severe deformities because of the significant cosmetic and psychological improvement, subjective increase in exercise tolerance, documented changes in the cardiac and respiratory status, and prevention of the development of scoliosis after surgical intervention in these patients.      The sternal turn over procedure with preserved internal mammary vessels and rectus abdominis muscle pedicles for the corrective repair of severe pectus excavatum, involves resection of the deformed thoracic wall, sternum and ribs, preserving an attachment of the rectus abdominis muscle,and a vascular pedicle of the internal mammary vessel. A short segment resection above the ipsilateralcostal cartilage is mandatory to allow reposition of the vascular pedicle onto the presternal surface after turn over of the sternum. Multiple corrective osteotomy and costoplasty must be completed before refixing the sternum and ribs.      The modified sternal turn over procedure restores the sternal blood supply and should be applied to the severe form of pectus excavatum which needs extensive and multiple bony resection. The procedure has been applied to a boy and a girl aged 5 years. At a three year follow up, the results obtained are excellent.
topic -
url https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/244995
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