Surgical treatment of chest deformities

• Main Authors: Azat Satzhanov (Author), Marat Rabandiyarov (Author), Bolat Nagimanov (Author)
• Format: Book
• Published: National Scientific Medical Center, 2017-09-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1812-2892; 2313-1519; 10.23950/1812-2892-JCMK-00509
• Keywords: thoracic deformation; thoracoplasty; D. Nass operation; Internal medicine; RC31-1245; Specialties of internal medicine; RC581-951
• Source: Ķazaķstannyṇ Klinikalyķ Medicinasy, Vol 3, Iss 45 special issue, Pp 22-24 (2017)

<b>The purpose of the study:</b> evaluation of clinical outcomes after thoracoplastic operations, including D. Nass in children with various forms of chest deformities.<br> <b>Methods:</b> 28 thoracoplastic surgeries were performed on the basis of the Zhambyl Regional Children's Hospital from 2015, and 3 of them in cooperation with specialists from the UMC "NSMC". By sexual ratio, boys prevailed (1:3,6). According to the types of deformities 55.6% of the pectus excavatum, 21.4% of the Poland syndrome, 14% of the pectus carinatum. All the children underwent radiological studies: radiography, CT with the defnitions of the Gyzick and Haller indexes.<br> <b>Results:</b> Indication for an operative intervention with a funnel-shaped cosmetic defect of the chest, the Haller index is more than 3.25; the Gizyck index is less than 0.65. The average duration of operations was 56.39 ± 1.40 min, the time spent in the intensive care unit was 1.14 ± 0.12 days, and the time spent in the pediatric orthopedics department was 12.35 ± 1.15 days. Based on the results of IG in the pre-operative period averaged 0.59, after the operation the mean IG increased to 1.00, which shows a correction of the chest. Differences of IG in the preoperative and postoperative periods demonstrate an increase in the IG index by an average of 85.0% of the initial.<br> <b>Conclusions:</b> According to our observations, the results of D. Nass's operation under endovision, in the postoperative period, show good and satisfactory results to 85% of cases, with a low risk of complications. When fxing the plate, it is recommended to strictly observe the operating technique: epipleural implant insertion, blockage of the ends with short transverse plates, which contributes to the stability of the metal structure.