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New Endoscopic Minimal Access Pectus Carinatum Repair Using Subpectoral Carbon Dioxide  Klaus Schaarschmidt, MD, Andreas Kolberg-Schwerdt, MD, Michael.

Published byKatrina Miles Modified over 5 years ago

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Presentation on theme: "New Endoscopic Minimal Access Pectus Carinatum Repair Using Subpectoral Carbon Dioxide  Klaus Schaarschmidt, MD, Andreas Kolberg-Schwerdt, MD, Michael."— Presentation transcript:

1 New Endoscopic Minimal Access Pectus Carinatum Repair Using Subpectoral Carbon Dioxide 
Klaus Schaarschmidt, MD, Andreas Kolberg-Schwerdt, MD, Michael Lempe, MD, Frank Schlesinger, MD  The Annals of Thoracic Surgery  Volume 81, Issue 3, Pages (March 2006) DOI: /j.athoracsur Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) View from the anterior axillary line toward the left sternal edge (s) in the space created by subpectoral CO2 insufflation. Note the excellent view of a dissected rib (r), the intercostal muscle (i), the pectoralis muscle (p) above, and the parasternal perforating vessels (v). (B) The same space, while a rib (r) osteotomy (o) is performed by a Luer bone rongeur (b) in a semi-open way or under videoendoscopic control. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Schematic drawing of Hegemann-Willital pectus carinatum repair consisting of bilateral parasternal and medioclavicular segmental rib resection with axial reanastosis of the ribs and one or two transsternal struts fixed by strong absorbable pericostal sutures. No wire is used on principle. (B) Immediate postoperative roentgenogram of patient (KB) (14.6 years old) after minimal access endoscopically assisted Hegemann-Willital repair of his pectus carinatum with two transsternal Willital struts in place. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) Patient (KB), 14.6 years of age (same as Fig 2B) suffering from a symptomatic pectus carinatum, the position of the bilateral trocars and the skin incision is marked. (B) Patient (KB) 3 months after minimal access endoscopic-assisted Hegemann-Willital repair. Trocar position and skin incision length are indicated and correspond to preoperative planning. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

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