Evaluation of a new model of metal bar stabilizer used in minimally invasive surgical repair of pectus excavatum

• Grant number: 14/15290-7
• Support Opportunities: Regular Research Grants
• Duration: March 01, 2017 - February 28, 2019
• Field of knowledge: Health Sciences - Medicine - Surgery
• Principal Investigator: Miguel Lia Tedde
• Grantee: Miguel Lia Tedde
• Host Institution: Instituto do Coração Professor Euryclides de Jesus Zerbini (INCOR). Hospital das Clínicas da Faculdade de Medicina da USP (HCFMUSP). Secretaria da Saúde (São Paulo - Estado). São Paulo , SP, Brazil
• Associated researchers: José Ribas Milanez de Campos ; Paulo Manuel Pêgo-Fernandes

Abstract

Pectus excavatum (PE) is the most common chest wall deformity, occurring in approximately 1/1000 persons. Currently, surgical treatment through minimally invasive technique is consolidating as a technique of choice for the treatment of this disease. In this technique a temporary metal bar is placed in retrosternal position, and this will push anteriorly the sternumavoiding the necessity of cartilage resection. Despite the advantages obtained with this technique, complications may occur as the displacement of the bar is a major one. In order to minimize this problem we develop a new model of stabilizers, as well as all the necessary instruments to perform minimally invasive surgery. The main objective of this study is to compare in two surgical groups the use of the oblique stabilizer versus the use of conventional perpendicular stabilizer in order to determine which one has the lowest rate of displacement of metal bar. Furthermore, this study also aims to evaluate the whole set of instruments developed by a national company for this type of surgery, which will have cost compatible with our economic reality, and that will be accessible to patients of Public Health. Regarding the measurement of the severity of the defect in the chest wall, the main method used is the CT scan, which exposes the patient to ionizing radiation. This study also proposes the use of a non-irradiating evaluation method through the structured light scanner Artec EVA, avoiding the disadvantages of exposure to irradiation (AU)

Publicações científicas

(Referências obtidas automaticamente do Web of Science e do SciELO, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores)

COSTA DE CARVALHO, RAFAEL LUCAS; TEDDE, MIGUEL LIA; MILANESE DE CAMPOS, JOSE RIBAS; HAMILTON, NIURA NORO; GUILHERME, GUSTAVO FALAVIGNA; SOUSA, VANESSA MOREIRA; SALOMAO JUNIOR, VITOR FLORIANO; SAVAZZI, FLAVIO HENRIQUE; PEGO-FERNANDES, PAULO MANUEL. Quality of life outcomes after minimally invasive repair of pectus excavatum utilizing a new set of metallic bars and stabilizers. JOURNAL OF PEDIATRIC SURGERY, v. 56, n. 3, p. 545-549, MAR 2021. (14/15290-7)