Medical Journal of the Islamic Republic Of Iran

en Functional and Aesthetic Outcomes of Patients Underwent Modified Ravitch Technique for Repair of Pectus Excavatum Cardiovascular Surgery Cardiovascular Surgery Original Research Original Research Background: Pectus excavatum is the most frequent congenital defect of the chest wall. Surgical treatment with modified Ravitch-type repair is recommended in patients with cosmetic dissatisfaction or considerable cardiopulmonary symptoms.  We aimed to analyze the surgical, aesthetic, cardiopulmonary functions and patient satisfaction outcomes of modified Ravitch repair pre and postoperatively.    Methods: This was a prospective analysis of 13 pectus excavatum patients undergoing repair by modified Ravitch using a permanent titanium plate fixed with a screw from September 2021 to August 2023. Patients were included  to relieve pressure on the heart and lungs if complaining of exercise intolerance, cosmetic impairment, shortness of breathing, chest pain, or psychological disturbance with an age range from 10 years to 30 years old. While patients who had received conservative or surgical treatment previously or patients with scoliosis, Marfan syndrome or bronchial asthma were excluded. At the 6-month postoperative visit, a postoperative satisfaction survey was conducted.    Results: The means of the age of patients (16.4 ± 2.36 years); operative duration (120 minutes); blood loss (200± 15.47 mL) and Haller index was (3.8± 0.35)  preoperatively compared with less than 3.0 (2.7± 0.08  postoperatively; hospital stay (7 days). The most frequent complications were seroma in one patient (7.69%), postoperative bleeding in one patient (7.69%) and skin infection in one patient (7.69%) of patients. No recorded infection of the sternal plate or required operative re-exploration for infection. All patients were subjectively satisfied with the excellent surgical results. Exercise intolerance despite increased exercise performance was observed following surgery, including less sensation of dyspnea.    Conclusion: Modified Ravitch-type repair is a secure and reliable method for treating pectus excavatum with better relief of preoperative symptoms.   Pectus excavatum, Modified Ravitch, Aesthetic, Cardiopulmonary, Outcomes 667 675 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-8757-1&slc_lang=en&sid=1 Gamal A. Farag drgamalfarag@gmail.com 200319475328460089493 200319475328460089493 No Department of Cardiothoracic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egyp Ahmed M. Omran Omranplasticsurgeon@gmail.com 200319475328460089494 0009-0002-2708-1165 No Department of Plastic and Reconstructive Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt Sherif H. Youssif Sherif.youssif83@azhar.edu.eg 200319475328460089495 200319475328460089495 No Department of Plastic and Reconstructive Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt Ramadan S. Abd Alaziz Ramadan_shawki@yahoo.com 200319475328460089496 0009-0007-3673-2595 No Department of Chest Diseases, Damietta Faculty of Medicine, Al-Azhar University, Egypt Samir A. Nematallah Samirnematallah@gmail.com 200319475328460089497 0009-0002-5388-7656 No Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt Ahmed B. Abd El Salam semsmahmed2007@yahoo.com 200319475328460089498 200319475328460089498 No Department of Diagnostic Radiology, Damietta Faculty of Medicine, Al-Azhar University, Egypt Husseini F. El boraey drhos595@yahoo.com 200319475328460089499 0009-0000-1989-5375 No Department of Diagnostic Radiology, Damietta Faculty of Medicine, Al-Azhar University, Egypt Osama I. Ramadan dr.osama784@yahoo.com 200319475328460089500 200319475328460089500 Yes Basic Dental Sciences Department, Faculty of Dentistry, Applied Science Private University, Amman, Jordan Tarek Zahra dr.tarekzahra@gmail.com 200319475328460089501 200319475328460089501 No Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Mansoura University, Egypt Ahmed Zeina xeena66@mans.edu.eg 200319475328460089502 200319475328460089502 No Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Mansoura University, Egypt