Funnel deformation of the thorax at children how to operate?

Abstract

Funnel chest is the malformation met at 0,6-2,3% of population, constitutes 91% of all congenital deformations of the thorax. Purpose. Choose the most optimal way of a thoracoplasty at children. Materials and methods. 156 children with funnel deformation of thorax 13,9±2,59 ( boys- 115, girls- 41) are operated In clinics of children’s surgery of Tyumen medical university during since 1990 to 2017.. Patients are divided in two groups. First group constitutes 30 patients operated with method Bairova, second- 126 patients operated with method Nassa. Results and discussion. In the first group duration of surgery is 134±10,51 minutes, hemorrhage is 150-500ml. The pheumothorax is recorded at 28 (93,3%) children, hemothorax at 1 (3,3%). All patients needed to drain a pleural cavity, drainage duration is 3-5 days. During 10 days patients received the anesthetizing therapy and 14 days antibacterial. Hospitalization duration is 41±4,42 days. Three patients have disease recurrence, what need to repeat thoracoplasty. In the second group duration of surgery is 39±4,33 minutes, no hemorrhage. The pheumothorax is recorded at 8 (6,35%) children, 5 (3,96%) needed to drain a pleural cavity, 3 patients have hemothorax and hemopleuritis, them made a drainage of a pleural cavity and a puncture. One sanatsionny thoracoscopy. Patients weren’t in chamber of an intensive care more one day. Anesthetics and antibacterial drugs were prescribed to 3-5 days. For the 3rd days were activated, in 9±1,82 days discharged. Conclusion. At the moment the plate dismantled at 37 (40,7%) patients operated by the Nassa method. All of them are satisfied with result of operation.