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KMID : 0364019930260120969
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Korean Journal of Thoracic and Cardiovascular Surgery
1993 Volume.26 No. 12 p.969 ~ p.971
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One-half Sternal Turnover -New Operative Approach for Asymmetrical Fummel Chest-
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이승열
백만종/선경/김광택/이인성/김형묵
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Abstract
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The sternal turnover has a limited use in an asymmetrical funnel chest. However we tried 'One-half sternal turnover' as a new operative approach for an asymmetrical funnel chest.
Through the bilateral submammary skin incision, median sternotomy was made from xiphoid process to midsternum and extended horizontally. The segment of ribs were cut at the angle of depression. The en-bloc resected chest wall segment contained
one-half
sternum as well as part of ribs and left half of rectus muscle. After turning over the en-bloc segment, reapproximation with wiring was done. Sternotomy wound was closed in layer after placing of substernal drainage tube. Postoperatively, the
chest
wall
was stable and the recovery course was uneventful except left-sided minimal pneumothorax which was cured spontaneaously. The patient was discharged on postoperative 14th day. (Korean J Thoracic Cardiovas Surg 1993;26:969-71)
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