ABSTRACT
Pectus excavatum, also called sunken chest, is the most common deformation of the sternum (90%). The deformation is caused by the depression of the sternum and costal cartilages, which causes reduction of the chest cavity and dysfunction of cardio-pulmonary systems in it. Sunken chest is more common in males than females, prevalence is 5/1. Most of the cases appear in the first year of life, however severity of the pathology is formed during puberty. Etiopathogenesis, genetic factors, and associated diseases of Pectus Excavatum are various and are still the subject of study. The manifestation of the disease is determined by the degree of chest deformation, which is calculated using the "Haller index". Providing that a high degree of deformation can lead to pathological functioning of the cardiovascular and respiratory systems. The treatment of this condition is an urgent, complex, and developing issue. The main method of treatment for sunken chest is surgical intervention; However, in cases of mild degrees of the mentioned deformation, different approaches are used. Our goal is to discuss contrasting treatment techniques and present our improved repairing technique for sunken chest, which is performed in Georgia.
Subject(s)
Funnel Chest , Female , Male , Humans , Funnel Chest/surgery , Georgia (Republic) , Patient Care , Thorax , Minimally Invasive Surgical ProceduresABSTRACT
The aim of the present research is to assess the beneficial and adverse effects of silicone bougie use in comparison to alternative methods of post-operative management of esophageal atresia. The study was carried on 28 patients treated at our healthcare institution for esophageal atresia during the period from May, 2017 to September, 2020. As an alternative to the use of esophageal bougie these patients were managed postoperatively, by utilizing the contrast imaging of the esophagus on the 7th and 14th days after surgery, and at the age of 1, 3, 6 months and one year. Unless the esophageal stricture has developed, the procedures are repeated annually until the age of 5. The aim of utilizing the contrast imaging technique is to prevent the stricture of the esophagus and recurrence of trachea esophageal fistula.
