Vacuum Bell Treatment for Pectus Excavatum
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- Ohama Kazunori
- Department of Pediatric Surgery, Ishikawa Prefectural Central Hospital
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- Shimotake Takashi
- Department of Pediatric Surgery, Ishikawa Prefectural Central Hospital
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- Ishikawa Nobuki
- Department of Pediatric Surgery, Ishikawa Prefectural Central Hospital
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- Hirotani Taichi
- Department of Pediatric Surgery, Ishikawa Prefectural Central Hospital
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- Miyamoto Masatoshi
- Department of Pediatric Surgery, Toyama City Hospital
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- Okada Yasuhiro
- Department of Pediatric Surgery, Toyama City Hospital
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- Yamazaki Toru
- Department of Pediatric Surgery, Toyama City Hospital
Bibliographic Information
- Other Title
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- 漏斗胸に対するVacuum Bellを用いた保存的治療
- ロウトキョウ ニ タイスル Vacuum Bell オ モチイタ ホゾンテキ チリョウ
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Abstract
Purpose: Pectus excavatum is the most common chest wall malformation. In 2005 we introduced a Vacuum Bell for treatment of pectus excavatum. In this paper we report on our experience of the treatment to evaluate the efficacy of the Vacuum Bell treatment. Materials and Methods: Eleven patients, 9 males and 2 females, were treated with the Vacuum Bell treatment. The age ranged from 6 to 29 years. In 4 of them Nuss procedure had been performed; in one patient the metal bar was removed too early because of bar infection and in 3 patients the results were unsatisfactory. The other 7 patients had not been operated on. A Vacuum Bell is used for creating a vacuum at the anterior chest wall. The pressure is reduced up to 15% below the atmospheric pressure with a hand pump. The device is used for at least 30 minutes, twice a day and the duration is lengthened gradually. Results: The follow-up time ranged from 4 months to 2 years and 8 months. The hollow of the sternum was elevated significantly from 18mm on average (between 2 and 30mm), to 10mm (between 0 and 20mm) after 3 months and 9mm (between 0 and 20mm) at the end point of follow-up. There were no serious complications, except for mild dermatitis. Conclusion: The Vacuum Bell is an alternative method for treatment of pectus excavatum.
Journal
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- Journal of the Japanese Society of Pediatric Surgeons
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Journal of the Japanese Society of Pediatric Surgeons 45 (2), 199-205, 2009
The Japanese Society of Pediatric Surgeons
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Details 詳細情報について
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- CRID
- 1390001204827184640
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- NII Article ID
- 110007161630
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- NII Book ID
- AN00192281
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- ISSN
- 21874247
- 0288609X
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- NDL BIB ID
- 10264310
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed