Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical SurgeryВестник экспериментальной и клинической хирургии2070-478X2409-143XVoronezh State Medical University named after N.N. Burdenko94410.18499/2070-478X-2012-5-1-193-197New in surgeryНовое в хирургии (архивный)Research ArticleThe method of surgical correction of funnel chest deformation in childrenСпособ хирургической коррекции воронкообразной деформации грудной клетки у детейSlizovskyGregory VladimirovichСлизовскийГригорий Владимирович
Russian Federation

Candidate of Medical Science, Associate Professor of the Department of Children's Surgical Diseases of the Siberian State Medical University

кандидат медицинских наук, доцент кафедры детских хирургических болезней Сибирского государственного медицинского университета

sgv5858@mail.ruMaslikovVyacheslav MikhailovichМасликовВячеслав Михайлович
Russian Federation

Candidate of Medical Science, Associate Professor, Head of the Department of Children's Surgical Diseases of the Siberian State Medical University

кандидат медицинских наук, доцент, заведующий кафедрой детских хирургических болезней Сибирского государственного медицинского университета

sgv5858@mail.ruKuzhelivskyIvan IvanovichКужеливскийИван Иванович
Russian Federation

Assistant of the Department of Children's Surgical Diseases of the Siberian State Medical University

ассистент кафедры детских хирургических болезней Сибирского государственного медицинского университета

kuzhel@rambler.ruStepanovMichael YurievichСтепановМихаил Юрьевич
Russian Federation

Employee of the Department of Children's Surgical Diseases of the Siberian State Medical University

сотрудник кафедры детских хирургических болезней Сибирского государственного медицинского университета

sgv5858@mail.ruSiberian State Medical UniversityСибирский государственный медицинский университет19012012511931970903201703042017Copyright ©; , Slizovsky G.V., Maslikov V.M., Kuzhelivsky I.I., Stepanov M.Y.Copyright ©; , Слизовский Г.В., Масликов В.М., Кужеливский И.И., Степанов М.Ю.Slizovsky G.V., Maslikov V.M., Kuzhelivsky I.I., Stepanov M.Y.Слизовский Г.В., Масликов В.М., Кужеливский И.И., Степанов М.Ю.http://creativecommons.org/licenses/by-nc-nd/4.0https://vestnik-surgery.com/journal/article/view/944

The anatomical and clinical description of the funnel-shaped deformity of the chest (DVGK), the bootmaker's chest, pectus excavatum, was made inLate 16th century and published as an essay by the famous anatomist and physician Bauhinus in 1594 in Frankfurt.The first operation in the area of HDCE was performed in 1911 by Ludwig Meyer, who resected the rib cartilage. DVGK, according to a number of authors, occurs in 0.6-2.3% of cases, which is 91% of congenital deformations of the chest (Willital et al., 1981). DVGK - the most frequent pathology of the chest wall in children. Most deformations of this kind are accompanied by impaired breathing and hemodynamics. Even a slight cosmetic defect causes significant changes in the child's psyche, leads to a closed way of life, neurosis-like conditions and, ultimately, social maladjustment. The only way to change the configuration of the chest is surgical correction. To correct the funnel-like deformity of the chest, more than 50 different surgical procedures have been proposed (L. Ombredan, R. Gross, GA Bairov, F. Rebein, A. Brunner, V. Paltia, I. Krause, M. Ravich, F. Robichek , AI Kondrashin, I. Vada, VI Geraskin, YA Brodko).

Анатомическое и клиническое описание воронкообразной деформации грудной клетки (ВДГК), грудь сапожника, pectus excavatum, было сделано вконце 16 века и опубликовано в виде эссе знаменитым анатомом и врачом Bauhinus в 1594 г. во Франкфурте.Первая операция по поводу ВДГК была произведена в 1911 г. Ludwig Meyer, который произвел резекцию реберных хрящей. ВДГК по данным ряда авторов встречается в 0,6-2,3% случаев, что составляет 91% врожденных деформаций грудной клетки (Willital et al., 1981). ВДГК - самая частая патология грудной стенки у детей. Большинство деформаций подобного рода сопровождаются нарушениями деятельности дыхания и гемодинамики. Даже незначительный косметический дефект вызывает значительные сдвиги в психике ребенка, приводит к замкнутому образу жизни, неврозоподобным состояниям и, в конечном итоге, социальной дезадаптации. Единственным средством изменения конфигурации грудной клетки является хирургическая коррекция. Для коррекции воронкообразной деформации грудной клетки предложено свыше 50 различных методик операций (Л. Омбредан, Р. Гросс, Г.А. Баиров, Ф. Ребейн, А. Бруннер, В. Палтиа, И. Краузе, М. Равич, Ф. Робичек, А.И. Кондрашин, И. Вада, В.И. Гераськин, Ю.А. Бродко).

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