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  • Title: [Preliminary results in the correction of the pectus excavatum with the Acastello modified Welch technique].
    Author: Lorenzo GR, Gutiérrez Dueñas JM, Ardela E, Martín Pinto F.
    Journal: Cir Pediatr; 2011 Oct; 24(4):201-7. PubMed ID: 23155632.
    Abstract:
    BACKGROUND: Congenital malformations of the chest wall are a heterogeneous group of diseases affecting the costal cartilage, ribs, sternum, scapula and clavicle. The pectus excavatum is characterized by a posterior depression of the sternum. Acastello-Welch technique consists in a partial resection of the costal cartilages adding some bars or plates unilaterally fixed to the sternum in each hemithorax. MATERIALS AND METHODS: From October 2008 to March 2011 we evaluated 108 patients with congenital malformations of the chest wall. Forty-seven patients (44%) had a pectus excavatum and 12 were treated with Acastello-Welch technique. RESULTS: There were no intraoperative complications. After a mean follow up of 27 months, correction of the deformity was very satisfactory both objective and subjective for patients. CONCLUSIONS: The Welch thoracoplasty modified by Acastello is a good option for the correction of the pectus excavatum associating little morbidity and good esthetic outcomes.
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