ABSTRACT
A homogeneous series of 32 cases of pectus excavatum were treated by Jung's method of reversal of the breast-plate pedicle. Operation was usually performed at about puberty. The mortality is nill for this technique, which is simple and which, for a low morbidity, provides good functional and esthetic results in 87% of cases. Follow up examinations after 4 to 18 years in 26 patients showed maintenance of results and the absence of any case of recurrence. This confirms the pathogenic hypothesis suggested by the authors in 1972. By performing a true laparoplasty in addition to the sternum reversal, this operation corrects disorders of ventilatory mechanics at the origin of the deformity.
Subject(s)
Funnel Chest/surgery , Adolescent , Adult , Child , Female , Follow-Up Studies , Funnel Chest/complications , Humans , Male , Postoperative ComplicationsSubject(s)
Ribs/surgery , Thoracic Outlet Syndrome/surgery , Adolescent , Adult , Axilla , Female , Humans , Male , Methods , Middle Aged , Postoperative Complications/epidemiologyABSTRACT
Authors report 163 cases of lumbar sympathectomy they did under local anesthesia from 1968 to 1975. All were older--and poor risk patients. Approach was always lumbar with resection of distal part of the 12th rib. If good care is taken to do anesthesia infiltration of the five lower intercostal nerves and of the 1st and 2nd posterior lumbar nerves, anesthesia is quite good, and surgery easy and painless. The main advantages are:--easy excision of the first lumbar sympathetic node through this lumbar approach;--low lethality as far as authors consider almost no contra-indications;--very fast recovery of bowel movements;--immediate oral feeding which is important for diabetic patients;--no tracheal, bronchial or lung postoperative infestation or trouble. Patients have never had any trouble (convulsions) from lignocaine since gardenal is given in pre-anesthesia.