KẾT QUẢ PHẪU THUẬT LỒI NGỰC BẰNG NÉO ÉP CÓ SỬ DỤNG THANH ĐỠ (PHƯƠNG PHÁP ABRAMSON CẢI TIẾN) TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: To evaluate the early results of pectus carinatum correction by modified Abramson technique at Vietduc University Hospital in the period of 2017-2021. Methods: A retrospective, cross-sectional descriptive study with all cases diagnosed with congenital pectus carinatum operated at Vietduc University Hospital from January 2017 to December 2021. Results: 45 patients, 41 men and 4 women included. Mean age 13.4 ± 1.4. All patients had aesthetic complaints, 9 patients with dyspnea on exertion (20%). There were 29 cases of symmetric pectus carinatum (64%), 13 cases of asymmetrical pectus carinatum (29%), 3 cases of pectus carinatum combined with pectus excavatum (7%). All patients were placed 1 bar, fixed both lateral with steel wire. The mean operative time was 40.27 ± 13.79 minutes (22 to 100 minutes). 100% of patients did not require chest tube. The average hospital stay was 5.24 ± 1.21 days (4 to 10 days). Out of 45 patients with bar placement, 37 patients had re-operated to remove the bar. After 6 months of placing the bar, the clinical results very good and good after surgery according to Abramson accounts for a high rate (81.82%). Conclusion: Modified Abramson technique is a minimally invasive technique for pectus carinatum patients with short operative time, short hospital stay and good result.