Document Detail

Repair of pectus excavatum using a substernal metal strut within a Marlex envelope.
MedLine Citation:
PMID:  2678499     Owner:  NLM     Status:  MEDLINE    
In a retrospective review, 82 children aged 3 to 16 years who had repair of pectus excavatum from 1963 to 1987 were divided into three groups according to type of repair: those without a metal substernal strut, those with a metal substernal strut, and those with a metal substernal strut within a Marlex envelope. In group 1 (n = 50) there were five recurrences; in group 2 (n = 18) and group 3 (n = 14) there were no recurrences. There was migration of the substernal strut in eight patients in group 2 (44%) and three patients in group 3 (21%). There were minor wound infections in groups 1 and 2 only. There were no deaths. Results of this study suggest that the use of a substernal strut significantly reduced recurrence and that the addition of a Marlex envelope around the strut reduced migration of the strut with no associated complications.
J C Gilbert; G T Zwiren
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  82     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1989 Oct 
Date Detail:
Created Date:  1989-11-17     Completed Date:  1989-11-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1240-4     Citation Subset:  AIM; IM    
Department of Surgery, Emory University School of Medicine, Atlanta, Ga.
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MeSH Terms
Age Factors
Child, Preschool
Evaluation Studies as Topic
Follow-Up Studies
Foreign-Body Migration
Funnel Chest / surgery*
Retrospective Studies
Sex Factors
Surgical Mesh*
Suture Techniques
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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