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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

The Vacuum Bell device as a sternal lifter: An immediate effect even with a short time use

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Author(s):
Togoro, Silvia Yukari [1] ; Tedde, Miguel Lia [1] ; Eisinger, Robert S. [2] ; Okumura, Erica Mie [1] ; Milanez de Campos, Jose Ribas [1] ; Pego-Fernandes, Paulo Manuel [1]
Total Authors: 6
Affiliation:
[1] Univ Sao Paulo, Fac Med, Hosp Clin, Thorac Surg Dept, Heart Inst InCor, Sao Paulo - Brazil
[2] Univ Florida, Coll Med, Gainesville, FL - USA
Total Affiliations: 2
Document type: Journal article
Source: JOURNAL OF PEDIATRIC SURGERY; v. 53, n. 3, p. 406-410, MAR 2018.
Web of Science Citations: 5
Abstract

Background: To minimize cardiac perforation during the minimally invasive repair of pectus excavatum(MIRPE), several surgeons have suggested using a suction device to intraoperatively lift the sternum. Whether or not this technique is effective for all PE patients is not yet known. As such, our aim was to quantify the extent to which a suction device is capable of lifting the sternum with a short duration of use. Methods: 30 PE patients received a low-dose CT scan as part of standard PE evaluation. A Vacuum Bell suction was then applied for only two minutes, and a repeat CT scan was obtained only at the deepest point of the chest wall deformity. We compared chest dimensions before and after Vacuum Bell suction. Results: The Vacuum Bell lifted the sternum in all 29 patients included in the analysis. The absolute change in depth ranged from 0.29 to 23.67 mm (M = 11.02, SD = 6.05). The average improvement in Haller index was 0.76. The suction was most effective for individuals with low BMI and smaller chest depths. Efficacy was not associated with gender, age, or chest morphology. Conclusions: The Vacuum Bell device effectively lifted the sternumin PE patients with different demographics and chest morphologies. Future research is needed to address whether or not the device reduces risk of cardiac perforation during MIRPE. (C) 2017 Elsevier Inc. All rights reserved. (AU)

FAPESP's process: 11/51156-5 - Thoracic surgery in Brazil: training, migration and performance of the Brazilian thoracic surgeon
Grantee:Miguel Lia Tedde
Support Opportunities: Regular Research Grants