Thirty-year experience with repair of XXXX in adults.

@entity1 @entity662 @entity154 @entity1353 @entity714 @entity1168 @entity384 @entity4032 @entity85 @entity1408
BACKGROUND: A plethora of studies have described repair of @entity85 in @entity1 , but only few reports have described this repair in adults. The purpose of this study was to review our 30-year experience with surgical repair of @entity85 in adults. METHODS: A retrospective review of all adult @entity1 (> 16 years old) who underwent repair of congenital @entity85 from 1971 through 2001. RESULTS: There were 77 @entity1 , 64 @entity1 and 13 @entity1 . Sixty-eight @entity1 underwent surgery for @entity1408 and 9 for pectus carinatum; median age was 22 years old (range, 16 to 68 years old). Indication for repair was medical concerns in all @entity1 . Preoperative symptoms were @entity1353 on exertion in 43 @entity1 , @entity1353 at rest in 22 @entity1 , @entity662 in 8 @entity1 , and palpitations in 8 @entity1 . Preoperative electrocardiogram findings included @entity714 in 9 @entity1 , sinus @entity1168 in 8 @entity1 , @entity4032 in 6 @entity1 , and right @entity384 in 5 @entity1 . Patterns of the pectus defect were symmetric and localized in 29 @entity1 , symmetric and diffuse in 21, asymmetric and localized in 18, and asymmetric and diffuse in 9 @entity1 . Intraoperative classifications were severe in 38 @entity1 , moderate in 33 @entity1 , and mild in 6 @entity1 . There were no operative deaths. Complications occurred in 11 @entity1 (14.3%). Mean hospital stay was 4 days (range, 2 to 8 days). Mean follow-up was 12 +/- 7 years (range, 4 months old to 24 years old); 1 @entity1 (1.3%) required reoperation for recurrent @entity1408 . @entity1 satisfaction and relief of medical symptoms was excellent in 70 @entity1 (90.9%), good in 6 @entity1 , and fair in 1 @entity1 . CONCLUSIONS: Repair of @entity154 of the sternum in adults can be performed safely with low morbidity and no mortality. Long-term results are excellent with requirement for reoperation rare.
