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of the North Caucasus
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ISSN 2073-8137
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Hybrid (Nuss – Ravich) correction of localized deep depression of chest wall deformation

[Notes from practice]
Vladimir Aleksandrovich Kuzmichev; Dmitry Anatolievich Pykhteev; Vladimir Vitalievich Gatsutsyn; Vladislav Dmitrievich Duryagin;

Pectus excavatum (PE) is the most common pathology of the chest wall. Correction of PE improves the quality of life of patients, as well as improves cardiopulmonary activity. The operation of choice in pediatric practice is the mini-invasive Nuss method. In rare cases, the Ravich method is used. In clinical observation, the first experience of surgical treatment of a child with a deep form of PE using the Nuss – Ravic hybrid technique with a description of the surgical procedure we were demonstrated. This approach has significantly – improved the cosmetic result and reduced the trauma of surgery.

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References:
1. Pediatric surgery: National guidelines / ed. A. Yu. Razumovsky. 2nd ed., revised. and additional. Moscow: GEOTAR-Media, 2021.
2. Gritsiuta A. I., Bracken A., Beebe K., Pechetov A. A. Currarino-Silverman syndrome: diagnosis and treatment of rare chest wall deformity, a case series. J. Thorac. Dis. 2021;13(5):2968-2978. https://doi.org/10.21037/jtd-20-3472
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Keywords: pectus excavatum, thoracoplasty, surgical correction


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