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Ann Thorac Surg 1982;34:640-646
© 1982 The Society of Thoracic Surgeons

Articles

A Simplified Approach to the Repair of Pediatric Pectus Deformities

Conrad W. Wesselhoeft, Jr., M.D.*, Frank G. DeLuca, M.D.

From the Department of Surgery, Section of Pediatric Surgery, Rhode Island Hospital and Brown University Program in Medicine, Providence, RI

* Address reprint requests to Dr. Wesselhoeft, 110 Lockwood St, Providence, RI 02903

For the past 14 years, a simplified operation utilizing a metal strut for internal fixation has been used to repair pectus anomalies in 123 children. Subperichondrial cartilage resection is performed through small incisions in the pectoral muscles. No sternal osteotomy required. A malleable strut is passed transsternally and removed in four to six months, frequently under local anesthesia. All children who underwent this procedure were discharged within five to six days, and no transfusions were necessary. The use of the technique has shortened operative time and decreased the necessity for extensive postoperative pulmonary physiotherapy. In 75 children followed for over 5 years, cosmetic results have been excellent, and self-image has improved substantially. In only 1 child was there a recurrence impressive enough to warrant reoperation.




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