Experience with FiberWire for pectus bar attachment

L. E. McMahon, K. N. Johnson, D. E. Jaroszewski, J. M. Acosta, J. C. Egan, J. Bae, H. Ngyuen, D. M. Notrica

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background Minimally invasive repair of pectus excavatum has become an established method for repair of pectus excavatum. Bar displacement or rotation remains the most common complication of this repair requiring return to the operating room. Methods Retrospective review of all patients at a single institution who underwent repair of pectus excavatum using FiberWire for bar stabilization between December 2009 and March 2013 was undertaken. Results 93 patients underwent minimally invasive pectus repair using FiberWire during the study period. The patients included 73 males and 20 females, with an average age of 14.6 years (range 7-21 years). Mean operative time was 102 minutes (range 56-198 minutes). No patients developed wound complications, two patients developed pain because of bar migration and required return to the OR, and no patients had recurrence of their pectus defect because of bar migration during the study period. Median length of follow-up was 17 months (range 3-36 months). Conclusion Stabilization of pectus bars using circumferential rib fixation with FiberWire at multiple points on both sides of the bar appears to be effective in preventing bar rotation and displacement, and requires minimal change to the operation as it has been previously described. Early experience shows a low rate of complications.

Original languageEnglish (US)
Pages (from-to)1259-1263
Number of pages5
JournalJournal of Pediatric Surgery
Volume49
Issue number8
DOIs
StatePublished - 2014

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Funnel Chest
Emigration and Immigration
Ribs
Operating Rooms
Operative Time
Recurrence
Pain
Wounds and Injuries

Keywords

  • Bar displacement
  • FiberWire
  • Pectus excavatum

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

McMahon, L. E., Johnson, K. N., Jaroszewski, D. E., Acosta, J. M., Egan, J. C., Bae, J., ... Notrica, D. M. (2014). Experience with FiberWire for pectus bar attachment. Journal of Pediatric Surgery, 49(8), 1259-1263. https://doi.org/10.1016/j.jpedsurg.2014.03.004

Experience with FiberWire for pectus bar attachment. / McMahon, L. E.; Johnson, K. N.; Jaroszewski, D. E.; Acosta, J. M.; Egan, J. C.; Bae, J.; Ngyuen, H.; Notrica, D. M.

In: Journal of Pediatric Surgery, Vol. 49, No. 8, 2014, p. 1259-1263.

Research output: Contribution to journalArticle

McMahon, LE, Johnson, KN, Jaroszewski, DE, Acosta, JM, Egan, JC, Bae, J, Ngyuen, H & Notrica, DM 2014, 'Experience with FiberWire for pectus bar attachment', Journal of Pediatric Surgery, vol. 49, no. 8, pp. 1259-1263. https://doi.org/10.1016/j.jpedsurg.2014.03.004
McMahon LE, Johnson KN, Jaroszewski DE, Acosta JM, Egan JC, Bae J et al. Experience with FiberWire for pectus bar attachment. Journal of Pediatric Surgery. 2014;49(8):1259-1263. https://doi.org/10.1016/j.jpedsurg.2014.03.004
McMahon, L. E. ; Johnson, K. N. ; Jaroszewski, D. E. ; Acosta, J. M. ; Egan, J. C. ; Bae, J. ; Ngyuen, H. ; Notrica, D. M. / Experience with FiberWire for pectus bar attachment. In: Journal of Pediatric Surgery. 2014 ; Vol. 49, No. 8. pp. 1259-1263.
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