Outcome analysis of minimally invasive repair of pectus excavatum: Review of 251 cases☆
Section snippets
Materials and methods
To obtain information from pediatric surgeons who have performed the MIRPE, a comprehensive survey was sent out to all members of APSA. The questionnaire was designed to allow the easy reporting of technical information and problems or complications related to the technique of MIRPE as illustrated in Table 1.Note that Table 1 is not a reprint of the survey but only an outline of the key points that are the focus of this report.
Because the survey focused on the technique and results of the
Results
Of the 74 survey responders, 31 (42%) currently use the MIRPE as their procedure of choice for repair of pectus excavatum. A total of 251 cases were collected and reviewed for the purpose of this study. Seventy-four percent of the pediatric surgeons that have performed the MIRPE relied on direct observation of an experienced surgeon performing the operation to obtain training in performing the procedure, whereas 26% used only written or verbal description of the operation before performing it
Discussion
The technique for minimally invasive repair of pectus excavatum was introduced to APSA in 1997, and the first report describing the experience and results with 42 patients was published in 1998 by the senior author in the Journal of Pediatric Surgery.7 The acceptance and popularity of this technique developed quickly among patients and surgeons mainly because of its less radical approach and excellent cosmetic results. The principal advantages of the MIRPE technique were based on the fact that
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Address reprint requests to André Hebra, MD, Assistant Professor of Surgery and Pediatrics, Medical University of South Carolina, Department of Surgery, 171 Ashley Ave, Charleston, SC 29425.