The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Einstein (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082014000200186 |
Resumo: | Objective To describe a new surgical technique to treat pectus excavatumutilizing low hardness solid silicone block that can be carved during the intraoperative period promoting a better aesthetic result.Methods Between May 1994 and February 2013, 34 male patients presentingpectus excavatum were submitted to surgical repair with the use of low hardness solid silicone block, 10 to 30 Shore A. A block-shaped parallelepiped was used with height and base size coinciding with those of the bone defect. The block was carved intraoperatively according to the shape of the dissected space. The patients were followed for a minimum of 120 days postoperatively. The results and the complications were recorded.Results From the 34 patients operated on, 28 were primary surgeries and 6 were secondary treatment, using other surgical techniques, bone or implant procedures. Postoperative complications included two case of hematomas and eight of seromas. It was necessary to remove the implant in one patient due to pain, and review surgery was performed in another to check prothesis dimensions. Two patients were submitted to fat grafting to improve the chest wall contour. The result was considered satisfactory in 33 patients.Conclusion The procedure proved to be fast and effective. The results of carved silicone block were more effective for allowing a more refined contour as compared to custom made implants. |
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The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repairFunnel chestProsthesis and implantsSiliconesChest wall/surgeryThoracic surgical procedures/methodsObjective To describe a new surgical technique to treat pectus excavatumutilizing low hardness solid silicone block that can be carved during the intraoperative period promoting a better aesthetic result.Methods Between May 1994 and February 2013, 34 male patients presentingpectus excavatum were submitted to surgical repair with the use of low hardness solid silicone block, 10 to 30 Shore A. A block-shaped parallelepiped was used with height and base size coinciding with those of the bone defect. The block was carved intraoperatively according to the shape of the dissected space. The patients were followed for a minimum of 120 days postoperatively. The results and the complications were recorded.Results From the 34 patients operated on, 28 were primary surgeries and 6 were secondary treatment, using other surgical techniques, bone or implant procedures. Postoperative complications included two case of hematomas and eight of seromas. It was necessary to remove the implant in one patient due to pain, and review surgery was performed in another to check prothesis dimensions. Two patients were submitted to fat grafting to improve the chest wall contour. The result was considered satisfactory in 33 patients.Conclusion The procedure proved to be fast and effective. The results of carved silicone block were more effective for allowing a more refined contour as compared to custom made implants.Instituto Israelita de Ensino e Pesquisa Albert Einstein2014-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082014000200186einstein (São Paulo) v.12 n.2 2014reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.1590/S1679-45082014AO2919info:eu-repo/semantics/openAccessAnger,JaimeAlcalde,Raphael Francisco VestermanCampos,Jose Ribas Milanez deeng2015-09-10T00:00:00Zoai:scielo:S1679-45082014000200186Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2015-09-10T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair |
title |
The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair |
spellingShingle |
The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair Anger,Jaime Funnel chest Prosthesis and implants Silicones Chest wall/surgery Thoracic surgical procedures/methods |
title_short |
The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair |
title_full |
The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair |
title_fullStr |
The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair |
title_full_unstemmed |
The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair |
title_sort |
The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair |
author |
Anger,Jaime |
author_facet |
Anger,Jaime Alcalde,Raphael Francisco Vesterman Campos,Jose Ribas Milanez de |
author_role |
author |
author2 |
Alcalde,Raphael Francisco Vesterman Campos,Jose Ribas Milanez de |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Anger,Jaime Alcalde,Raphael Francisco Vesterman Campos,Jose Ribas Milanez de |
dc.subject.por.fl_str_mv |
Funnel chest Prosthesis and implants Silicones Chest wall/surgery Thoracic surgical procedures/methods |
topic |
Funnel chest Prosthesis and implants Silicones Chest wall/surgery Thoracic surgical procedures/methods |
description |
Objective To describe a new surgical technique to treat pectus excavatumutilizing low hardness solid silicone block that can be carved during the intraoperative period promoting a better aesthetic result.Methods Between May 1994 and February 2013, 34 male patients presentingpectus excavatum were submitted to surgical repair with the use of low hardness solid silicone block, 10 to 30 Shore A. A block-shaped parallelepiped was used with height and base size coinciding with those of the bone defect. The block was carved intraoperatively according to the shape of the dissected space. The patients were followed for a minimum of 120 days postoperatively. The results and the complications were recorded.Results From the 34 patients operated on, 28 were primary surgeries and 6 were secondary treatment, using other surgical techniques, bone or implant procedures. Postoperative complications included two case of hematomas and eight of seromas. It was necessary to remove the implant in one patient due to pain, and review surgery was performed in another to check prothesis dimensions. Two patients were submitted to fat grafting to improve the chest wall contour. The result was considered satisfactory in 33 patients.Conclusion The procedure proved to be fast and effective. The results of carved silicone block were more effective for allowing a more refined contour as compared to custom made implants. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082014000200186 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082014000200186 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1679-45082014AO2919 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
dc.source.none.fl_str_mv |
einstein (São Paulo) v.12 n.2 2014 reponame:Einstein (São Paulo) instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE |
instname_str |
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
instacron_str |
IIEPAE |
institution |
IIEPAE |
reponame_str |
Einstein (São Paulo) |
collection |
Einstein (São Paulo) |
repository.name.fl_str_mv |
Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
repository.mail.fl_str_mv |
||revista@einstein.br |
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1752129907437076480 |