Pub Date : 2018-09-20DOI: 10.4067/S0718-40262018000500402
E. S. Danilla, Carlos Domínguez, V. Ganz, O. E. Troncoso, V. Ríos, T. Yamada, D. Serra, C. Andrades, V. Cisternas, Cristián Erazo, P. Sepúlveda
Introduction: Obese patients gets beneficial health effects with the massive weight loss, however they develop excessive redundant skin and become physical problems affecting their quality of life. In severe cases, the conventional body contouring techniques are not able to solve this large alterations, being necessary to use more extensive procedures. The Upper Body Lift is a technique that offers integral management of the upper trunk. Objectives: To describe a case series of patients submitted to Upper Body Lift and present the surgical technique. Materials and Methods: Prospective case series of patients with Upper Body Lift between January 2013 and June 2016 in a clinical hospital. Patients with incomplete information or operated in another center were excluded. Descriptive statistics was used. Results: 8 patients were included, age 39.75 ± 9.37 years, 6 (75%) women. Prior to the contouring surgery they lose 36.75 ± 9.11 kg, reaching a BMI of 25.97 ± 2.35 kg/m2. In men the chest region was managed with liposuction and subsequent nipple graft, in women mastopexy without implants was performed in 5. No major complications was observed, 4 had minor complications during the postoperative period. Discussion: This series presents similar results to those described by other authors. Conclusions: The Upper Body Lift offers comprehensive and successful management in patients with large upper body disturbance.
{"title":"Upper Body Lift: Serie de casos en un hospital clínico universitario entre los años 2013-2016. Descripción de la técnica quirúrgica","authors":"E. S. Danilla, Carlos Domínguez, V. Ganz, O. E. Troncoso, V. Ríos, T. Yamada, D. Serra, C. Andrades, V. Cisternas, Cristián Erazo, P. Sepúlveda","doi":"10.4067/S0718-40262018000500402","DOIUrl":"https://doi.org/10.4067/S0718-40262018000500402","url":null,"abstract":"Introduction: Obese patients gets beneficial health effects with the massive weight loss, however they develop excessive redundant skin and become physical problems affecting their quality of life. In severe cases, the conventional body contouring techniques are not able to solve this large alterations, being necessary to use more extensive procedures. The Upper Body Lift is a technique that offers integral management of the upper trunk. Objectives: To describe a case series of patients submitted to Upper Body Lift and present the surgical technique. Materials and Methods: Prospective case series of patients with Upper Body Lift between January 2013 and June 2016 in a clinical hospital. Patients with incomplete information or operated in another center were excluded. Descriptive statistics was used. Results: 8 patients were included, age 39.75 ± 9.37 years, 6 (75%) women. Prior to the contouring surgery they lose 36.75 ± 9.11 kg, reaching a BMI of 25.97 ± 2.35 kg/m2. In men the chest region was managed with liposuction and subsequent nipple graft, in women mastopexy without implants was performed in 5. No major complications was observed, 4 had minor complications during the postoperative period. Discussion: This series presents similar results to those described by other authors. Conclusions: The Upper Body Lift offers comprehensive and successful management in patients with large upper body disturbance.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"1 1","pages":"402-408"},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88993146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-20DOI: 10.4067/s0718-40262018000500452
Isabel María Manosalbas-Rubio, E. Doiz-Artázcoz, Ana Margarita Ruales-Romero, M. Rodríguez-Piñero
Introduction: Multiple artery aneurysms are a rare pathological condition which may be caused by different etiologies. Therefore, its location, morphology and clinical presentation may vary in a case to case basis. Case report: A 51-year-old woman, prior history of dyslipedemia presents with upper abdominal pain. Abdominal tomographic scans showed aneurysm of the pancreaticduodenal artery and retroperitoneal hematoma. Emergent surgical evacuation of the hematoma was performed, with no other findings. In the postoperative period, the patient suffers hypertensive crisis and a new tomographic scan is conducted observing multiple dilations in different visceral arteries. The patient is treated conservatively and is being studied for a possible vasculitis. Discussion: Multi-aneurysmatic artery disease is a very rare entity, its etiology is determined by clinical and histopathological correlation. Although establishing a diagnosis in which the clinical presentation completely corresponds, is a real challenge. Unlike degenerative aneurysms due to atherosclerosis, multi-aneurysmatic disease commonly involves visceral arteries. Open surgery is considered safe treatment option and should be established in the segments causing symptoms. Endovascular treatment is less invasive, being the technique of choice in patients with high comorbidity and in cases of complicated surgery with rupture.
{"title":"Enfermedad multianeurismática: a propósito de un caso","authors":"Isabel María Manosalbas-Rubio, E. Doiz-Artázcoz, Ana Margarita Ruales-Romero, M. Rodríguez-Piñero","doi":"10.4067/s0718-40262018000500452","DOIUrl":"https://doi.org/10.4067/s0718-40262018000500452","url":null,"abstract":"Introduction: Multiple artery aneurysms are a rare pathological condition which may be caused by different etiologies. Therefore, its location, morphology and clinical presentation may vary in a case to case basis. Case report: A 51-year-old woman, prior history of dyslipedemia presents with upper abdominal pain. Abdominal tomographic scans showed aneurysm of the pancreaticduodenal artery and retroperitoneal hematoma. Emergent surgical evacuation of the hematoma was performed, with no other findings. In the postoperative period, the patient suffers hypertensive crisis and a new tomographic scan is conducted observing multiple dilations in different visceral arteries. The patient is treated conservatively and is being studied for a possible vasculitis. Discussion: Multi-aneurysmatic artery disease is a very rare entity, its etiology is determined by clinical and histopathological correlation. Although establishing a diagnosis in which the clinical presentation completely corresponds, is a real challenge. Unlike degenerative aneurysms due to atherosclerosis, multi-aneurysmatic disease commonly involves visceral arteries. Open surgery is considered safe treatment option and should be established in the segments causing symptoms. Endovascular treatment is less invasive, being the technique of choice in patients with high comorbidity and in cases of complicated surgery with rupture.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"9 1","pages":"453-456"},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90610311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-20DOI: 10.4067/S0718-40262018000500463
R. Sánchez, V. Valenzuela, Alejandra Pérez-Sepúlveda, P. Villarroel, A. Medina, A. Camus, C. Acevedo
Breast cancer is the leading cause of cancer death in Chilean women. While most patientes are cured, five percent of cases present with advanced disease initially and up to 20-30% of patients with localized disease may suffer systemic recurrences. The majority of breast neoplasms are dependent on the estrogenic stimulus, hence the deprivation of estrogen is the main therapeutic strategy. Recently, the use of molecular targeted therapies in combination with endocrine therapy has been successful in improving the survival outcomes of advanced breast cancer, with fewer side effects than those produced by conventional chemotherapy. Knowledge of the mechanisms of action of these new therapies, their toxicities, resistance pathways and patient selection to achieve the best therapeutic benefits are relevant aspects in the management of the disease. We present a review of the current state of management of hormone-dependent metastatic breast cancer with emphasis on the use of endocrine therapies combined with molecular therapies.
{"title":"Cáncer de mama avanzado receptor de estrógeno positivo: Manejo sistémico actual","authors":"R. Sánchez, V. Valenzuela, Alejandra Pérez-Sepúlveda, P. Villarroel, A. Medina, A. Camus, C. Acevedo","doi":"10.4067/S0718-40262018000500463","DOIUrl":"https://doi.org/10.4067/S0718-40262018000500463","url":null,"abstract":"Breast cancer is the leading cause of cancer death in Chilean women. While most patientes are cured, five percent of cases present with advanced disease initially and up to 20-30% of patients with localized disease may suffer systemic recurrences. The majority of breast neoplasms are dependent on the estrogenic stimulus, hence the deprivation of estrogen is the main therapeutic strategy. Recently, the use of molecular targeted therapies in combination with endocrine therapy has been successful in improving the survival outcomes of advanced breast cancer, with fewer side effects than those produced by conventional chemotherapy. Knowledge of the mechanisms of action of these new therapies, their toxicities, resistance pathways and patient selection to achieve the best therapeutic benefits are relevant aspects in the management of the disease. We present a review of the current state of management of hormone-dependent metastatic breast cancer with emphasis on the use of endocrine therapies combined with molecular therapies.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"1 1","pages":"464-473"},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79795088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-08-01DOI: 10.4067/S0718-40262018000300307
Nicolás Jarufe, M. Barra, J. Varas
{"title":"Centros de simulación quirúrgica regionales y certificación a distancia (telesimulación). Una innovación pionera en el mundo conducida por la Sociedad de Cirujanos de Chile","authors":"Nicolás Jarufe, M. Barra, J. Varas","doi":"10.4067/S0718-40262018000300307","DOIUrl":"https://doi.org/10.4067/S0718-40262018000300307","url":null,"abstract":"","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43121459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-08-01DOI: 10.4067/S0718-40262018000300322
S Juan Carlos Pattillo, Franklin Dexter
Introduction: Surgical cancellations are a complex problem in the field of Operating Room Management, affecting patients, staff, including surgeons and anesthetists, and compromising the finances of health institutions. The available information about the incidence and characteristics of surgical cancellations in our country are scarce. Objective: The aim of this article is to characterize the surgical cancellations in a Chilean academic center, describing its global incidence and by specialty. Materials and Methods: Prospective information on surgical schedule and Operating Room activity was included in this cohort study of surgical case cancellations occurring from January 1, 2016 through May 20, 2017. To calculate the percentage of cancellations, 3 groups were used based on 6 periods of 4 weeks. The Freeman-Turkey double-arcsine transformation and Student’s t-test were applied. Results: During the study period, 11,398 surgeries were programmed, of which 492 were cancelled. The incidence of cancellations for the 3 periods was 4.38% (95% CI 3.78% to 5.01%), 4.15% (95% CI 3.51% to 4.85%) and 4.10% (95% CI of 3.50% to 4.74%) respectively. In at least 57% of cases the main identifiable cause of cancellation was a change in the patient’s medical condition. Discussion and Conclusions: Our results consistently show that the cancellation rates range between 3% and 5%, which is within international standards, and can be used as benchmarking for comparisons at a national level.
{"title":"Enfrentando el dilema de las suspensiones: características e incidencia de las suspensiones quirúrgicas en un centro académico en Chile","authors":"S Juan Carlos Pattillo, Franklin Dexter","doi":"10.4067/S0718-40262018000300322","DOIUrl":"https://doi.org/10.4067/S0718-40262018000300322","url":null,"abstract":"Introduction: Surgical cancellations are a complex problem in the field of Operating Room Management, affecting patients, staff, including surgeons and anesthetists, and compromising the finances of health institutions. The available information about the incidence and characteristics of surgical cancellations in our country are scarce. Objective: The aim of this article is to characterize the surgical cancellations in a Chilean academic center, describing its global incidence and by specialty. Materials and Methods: Prospective information on surgical schedule and Operating Room activity was included in this cohort study of surgical case cancellations occurring from January 1, 2016 through May 20, 2017. To calculate the percentage of cancellations, 3 groups were used based on 6 periods of 4 weeks. The Freeman-Turkey double-arcsine transformation and Student’s t-test were applied. Results: During the study period, 11,398 surgeries were programmed, of which 492 were cancelled. The incidence of cancellations for the 3 periods was 4.38% (95% CI 3.78% to 5.01%), 4.15% (95% CI 3.51% to 4.85%) and 4.10% (95% CI of 3.50% to 4.74%) respectively. In at least 57% of cases the main identifiable cause of cancellation was a change in the patient’s medical condition. Discussion and Conclusions: Our results consistently show that the cancellation rates range between 3% and 5%, which is within international standards, and can be used as benchmarking for comparisons at a national level.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49392091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-08-01DOI: 10.4067/s0718-40262018000300313
Aingeru Sarriugarte-Lasarte, O. Gutiérrez-Grijalba, I. Álvarez-Abad, Miguel Calle-Baraja
Mujer de 54 años que consultó en urgencias por vómitos realizándose Rx abdominal y TC (Figura 1) donde se aprecia una gran distensión gástrica. Tras descompresión nasogástrica se realizó gastroscopia sin hallazgos de neoplasia ni obstrucción mecánica de otra causa. El estudio de biopsias aleatorias mostró infiltración por carcinoma con células en anillo de sello. Se intervino para gastrectomía total con hallazgo de linitis plástica (Figura 2). El carcinoma difuso de células en anillo de sello es un tumor cada vez más frecuente que difunde por la submucosa hasta convertirse en transmural con rapidez dando una imagen macroscópica de linitis plástica y respetando en algunas ocasiones la mucosa, por lo que es preciso un alto nivel de sospecha clínica para realizar biopsias aleatorias que llevarán al diagnóstico.
{"title":"Paresia gástrica masiva como único hallazgo diagnóstico de linitis plástica por carcinoma de células en anillo de sello","authors":"Aingeru Sarriugarte-Lasarte, O. Gutiérrez-Grijalba, I. Álvarez-Abad, Miguel Calle-Baraja","doi":"10.4067/s0718-40262018000300313","DOIUrl":"https://doi.org/10.4067/s0718-40262018000300313","url":null,"abstract":"Mujer de 54 años que consultó en urgencias por vómitos realizándose Rx abdominal y TC (Figura 1) donde se aprecia una gran distensión gástrica. Tras descompresión nasogástrica se realizó gastroscopia sin hallazgos de neoplasia ni obstrucción mecánica de otra causa. El estudio de biopsias aleatorias mostró infiltración por carcinoma con células en anillo de sello. Se intervino para gastrectomía total con hallazgo de linitis plástica (Figura 2). El carcinoma difuso de células en anillo de sello es un tumor cada vez más frecuente que difunde por la submucosa hasta convertirse en transmural con rapidez dando una imagen macroscópica de linitis plástica y respetando en algunas ocasiones la mucosa, por lo que es preciso un alto nivel de sospecha clínica para realizar biopsias aleatorias que llevarán al diagnóstico.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49124102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-08-01DOI: 10.4067/S0718-40262018000300342
M. Navarrete, G Dulce Momblán, O Ainitze Ibarzaval, C Ricard Corcelles, M. Jiménez-Toscano, F. A. Lacy
Introduction: The treatment of high-risk gastrointestinal stromal tumors (GIST) is surgical. Results may change when using neoadjuvant. Objetive: To evaluated if the use of neoadjuvant therapy with imatinib can change the surgical approach in high risk gastrointestinal stromal tumors (GIST). Materials and Methods: A retrospective analysis was performed from a prospective collected database in Hospital Clinic of Barcelona between January 2002 and May 2016. Results: A total of 8 patients were analyzed with a mean age of 66.1 ± 13.3 years. The tumor location was upper third 37.5% (3) cases, 50% (4) in the middle third and 12.5% (1) in lower third. Because of high risk classification, location and the need of multivisceral resections, neoadjuvant therapy was indicated. The median time of neoadjuvant therapy was 30 weeks. In 87.5% (7) cases a change of surgical approach was achieved after the use of imatinib. In 100% of our series laparoscopic wedge resection was performed achieving negative margins of resection. The postoperative biopsy showed 51.2% of reduction of initial tumor size, resulting in statistical difference (p < 0.01). All patients are alive and 100% of tumor related survival was achieved. Conclusion: Neoadjuvant therapy maybe can change the surgical approach of patients with high-intermediate risk gastric GIST by reducing tumor size. This response also eventually can achieve optimal oncological outcome.
{"title":"Modificación del abordaje quirúrgico en tumores estromales gástricos posterior a neoadyuvancia con Imatinib","authors":"M. Navarrete, G Dulce Momblán, O Ainitze Ibarzaval, C Ricard Corcelles, M. Jiménez-Toscano, F. A. Lacy","doi":"10.4067/S0718-40262018000300342","DOIUrl":"https://doi.org/10.4067/S0718-40262018000300342","url":null,"abstract":"Introduction: The treatment of high-risk gastrointestinal stromal tumors (GIST) is surgical. Results may change when using neoadjuvant. Objetive: To evaluated if the use of neoadjuvant therapy with imatinib can change the surgical approach in high risk gastrointestinal stromal tumors (GIST). Materials and Methods: A retrospective analysis was performed from a prospective collected database in Hospital Clinic of Barcelona between January 2002 and May 2016. Results: A total of 8 patients were analyzed with a mean age of 66.1 ± 13.3 years. The tumor location was upper third 37.5% (3) cases, 50% (4) in the middle third and 12.5% (1) in lower third. Because of high risk classification, location and the need of multivisceral resections, neoadjuvant therapy was indicated. The median time of neoadjuvant therapy was 30 weeks. In 87.5% (7) cases a change of surgical approach was achieved after the use of imatinib. In 100% of our series laparoscopic wedge resection was performed achieving negative margins of resection. The postoperative biopsy showed 51.2% of reduction of initial tumor size, resulting in statistical difference (p < 0.01). All patients are alive and 100% of tumor related survival was achieved. Conclusion: Neoadjuvant therapy maybe can change the surgical approach of patients with high-intermediate risk gastric GIST by reducing tumor size. This response also eventually can achieve optimal oncological outcome.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47972140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-08-01DOI: 10.4067/S0718-40262018000300382
Juan Enrique Berner, Ernesto Ewertz
En el contexto clinico actual, diversos factores entorpecen la formacion de medicos y especialistas. La judicializacion de la practica medica, legislaciones que limitan las horas trabajadas, una cultura de trabajo que no admite errores y una mayor demanda por especialistas son desafios que han obligado a docentes a buscar nuevas herramientas. La simulacion permite recrear una situacion clinica, permitiendo al alumno adquirir competencias previo a su aplicacion en la vida real. Este trabajo resume los conceptos actuales en simulacion, las bases teoricas educacionales que explican su utilidad, sus limitaciones y la evidencia disponible sobre su utilizacion.
{"title":"Bases teóricas del uso simulación para el entrenamiento en cirugía","authors":"Juan Enrique Berner, Ernesto Ewertz","doi":"10.4067/S0718-40262018000300382","DOIUrl":"https://doi.org/10.4067/S0718-40262018000300382","url":null,"abstract":"En el contexto clinico actual, diversos factores entorpecen la formacion de medicos y especialistas. La judicializacion de la practica medica, legislaciones que limitan las horas trabajadas, una cultura de trabajo que no admite errores y una mayor demanda por especialistas son desafios que han obligado a docentes a buscar nuevas herramientas. La simulacion permite recrear una situacion clinica, permitiendo al alumno adquirir competencias previo a su aplicacion en la vida real. Este trabajo resume los conceptos actuales en simulacion, las bases teoricas educacionales que explican su utilidad, sus limitaciones y la evidencia disponible sobre su utilizacion.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4067/S0718-40262018000300382","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46237611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-08-01DOI: 10.4067/S0718-40262018000300373
Norman Ramírez-Lluch, José M. Acevedo-Echevarría
Chest wall deformities are divided as an abnormal development during the growth or those secondary to a congenital malformation. The developmental type is the most common: pectus excavatum or pectus carinatum. The less common are the congenital types of chest wall abnormalities: Poland’s syndrome, Jeune’s syndrome, espondylothoracic dysplasia, espondylocostal dysplasia and defects of the ribs or sternum. The congenital type usually affects the relationship between the spine, rib cage and the lungs. Therefore, many of these patients will develop a progressive respiratory disturbance of restrictive type known as Thoracic Insufficiency Syndrome. Thoracic insufficiency syndrome is defining as a deficiency of the rib cage to maintain a normal respiration and to sustain the physiological growth of the lungs. In this article will discuss several conditions that will affect the development and function of the chest wall.
{"title":"Deformidad de la caja torácica","authors":"Norman Ramírez-Lluch, José M. Acevedo-Echevarría","doi":"10.4067/S0718-40262018000300373","DOIUrl":"https://doi.org/10.4067/S0718-40262018000300373","url":null,"abstract":"Chest wall deformities are divided as an abnormal development during the growth or those secondary to a congenital malformation. The developmental type is the most common: pectus excavatum or pectus carinatum. The less common are the congenital types of chest wall abnormalities: Poland’s syndrome, Jeune’s syndrome, espondylothoracic dysplasia, espondylocostal dysplasia and defects of the ribs or sternum. The congenital type usually affects the relationship between the spine, rib cage and the lungs. Therefore, many of these patients will develop a progressive respiratory disturbance of restrictive type known as Thoracic Insufficiency Syndrome. Thoracic insufficiency syndrome is defining as a deficiency of the rib cage to maintain a normal respiration and to sustain the physiological growth of the lungs. In this article will discuss several conditions that will affect the development and function of the chest wall.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4067/S0718-40262018000300373","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70193282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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