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Doctoral Thesis
Full name
Rodrigo Ribeiro Brigato
Knowledge Area
Date of Defense
São Paulo, 2006
Jatene, Fabio Biscegli (President)
Campos, José Ribas Milanez de
Coelho, Marlos de Souza
Dorgan Neto, Vicente
Losso, Luis Carlos
Title in Portuguese
"Pectus excavatum: avaliação comparativa das técnicas operatórias de Robicsek e Nuss"
Keywords in Portuguese
Estudo comparativo
Parede torácica/anormalidades
Telas cirúrgicas
Tórax em funil/cirurgia
Tórax em funil/terapia
Abstract in Portuguese
Pectus excavatum (PEX) é uma depressão esternal em relação às cartilagens costais. Problemas psicológicos e intolerância ao exercício são alterações clínicas freqüentemente detectadas. A correão cirúrgica do PEX ganhou um novo momento desde a introdução da nova técnica minimamente invasivade Nuss. O objetivo deste estudo é comparar os resultados das técnicas operatórias de Robicsek (convencional) e minimamente invasiva (Nuss). Dois grupos de pacientes foram estudados em nosso Serviço: a) 40 pacientes com tórax normal; 40 pacientes com PEX. Esse último grupo foi operado pela técnica de Robicsek (20 pacientes) ou de Nuss (20 pacientes). Ambas as técnicas conseguiram resultados pós-operatórios satisfatórios, mas o índice de Haller e medidas clínicas sugerem que resultados são diferentes. Nuss pode obter melhor forma torácica
Title in English
Pectus excavatum : comparative evaluation of Robicsek and Nuss surgical techniques
Keywords in English
Comparative study
Funnel chest/surgery
Funnel chest/therapy
Surgical mesh
Thoracic wall/abnormalities
Abstract in English
Pectus excavatum (PEX) is a depression of the sternum in relation to the costal cartilages. Psychological disorders and exercise intolerance are current clinical abnormalities detectables. Surgical correction of PEX has gained a new momentum since the introduction of the new minimally invasive repair by Nuss. The present study aims to compare the results of Robicsek (conventional) versus Nuss (minimally invasive) technique. Two groups of patients were studied at our Service: a) 40 patients with normal thoracic box configuration; b) 40 patients with PEX. The latter were operated according to the Robicsek (20 pacients) or Nuss technique (20 patients). Both techniques manage to successful postoperative results, but Haller index and clinical measures suggest that results are significant differents. Nuss technique may obtain the best thoracic shape
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