SURGICAL TECHNIQUE FOR FUNNEL-LIKE DEFORMITY OF THORAX

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine and can be used in surgical management of congenital and acquired funnel-shaped chest deformities in children. Method involves two incisions of skin and subcutaneous fat on lateral surfaces of thorax, formation of retrosternal tunnel, carrying a plate through the sternum through it, while gradually giving the sternum and ribs a physiologically correct position, fixing the plate to the ribs through the through holes on its ends and on the side surfaces. After making the incisions along the lateral surfaces of the chest through the upper incision under the video control, a dissector with a fixed suture is introduced and punctures are made for a greater pectoral muscle and muscles of the intercostal space. Double ribs of the adjacent ribs are injected through the pricks in the upper edge of the upper rib and the lower edge of the lower rib to form a transverse bridge. Filaments are tied with free ends left. Correcting plate is inserted obliquely on one intercostal space by means of a tunneling device and a guide tube. When installing correcting plate its ends are arranged above formed transverse bridge. Plate free ends are fixed in the intercostal space, and the plate is fixed to the ribs through the end holes in the plate on both sides of the formed bridge.;EFFECT: method provides low invasiveness of the surgical intervention, additional stability of the plate position with considerable chest deformities, enables to achieve a significant reduction of complications in the early postoperative period, higher stability of plate position relative to intercostals due to uniform pressure distribution on costal arches.;1 cl, 7 dwg, 2 ex