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Hybrid Nuss Procedure for Pectus Excavatum With Severe Retrosternal Adhesions After Sternotomy  Shuai Li, MD, Dehua Yang, PhD, Yazhen Ma, MD, Shao-tao.

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Presentation on theme: "Hybrid Nuss Procedure for Pectus Excavatum With Severe Retrosternal Adhesions After Sternotomy  Shuai Li, MD, Dehua Yang, PhD, Yazhen Ma, MD, Shao-tao."— Presentation transcript:

1 Hybrid Nuss Procedure for Pectus Excavatum With Severe Retrosternal Adhesions After Sternotomy 
Shuai Li, MD, Dehua Yang, PhD, Yazhen Ma, MD, Shao-tao Tang, MD, Li Yang, MD, Shiwang Li, MD, Guoqing Cao, MD, Kang Li, PhD, Xi Zhang, MM, Xingjian Hu, PhD  The Annals of Thoracic Surgery  Volume 103, Issue 5, Pages (May 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A, B) Blunt dissection of the retrosternal space using the surgeon’s finger (arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Elevation of the sternum using a retractor with appropriate power. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) General operation scene. (B) Dissection using hemostatic forceps (Hf) through a subxiphoid incision using thoracoscope as close to the bottom of the sternum (s) as possible; arrow indicates the tense adhesion between myocardium and sternum. (C) View by thoracoscope from incision in right side of chest. (f = finger; h = heart; i = introducer; s = sternum.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Postoperative photograph of chest.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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