1 -10 (60) 2023 — Alena O. Shominova, Zorikto B. Mitupov — THE FIRST EXPERIENCE OF USING A VACUUM BELL IN THE TREATMENT OF PECTUS EXCAVATUM IN CHILDREN

THE FIRST EXPERIENCE OF USING A VACUUM BELL IN THE TREATMENT OF PECTUS EXCAVATUM IN CHILDREN

Alena O. Shominova, Pirogov Russian National Research Medical University, Moscow, Russia

Zorikto B. Mitupov, Pirogov Russian National Research Medical University, Moscow, Russia, Filatov Children’s Hospital, Moscow, Russia

Alexander Yu. Razumovsky Pirogov Russian National Research Medical University, Moscow, Russia, Filatov Children’s Hospital, Moscow, Russia

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Background: To date, N.F. Filatov Children’s Hospital  has great experience in surgical correction of pectus excavatum  in children. For 22 years, more than 1000 Minimally Invasive Repair of Pectus Excavatum  was performed in the Thoracic Surgery Department of the Filatov Hospital. Despite the satisfactory and excellent results of the surgical correction of the Pectus Excavatum , the search for alternative non -surgical methods of treating this pathology continues. In world practice, Vacuum Bell is used as conservative treatment.  However, the question of effectiveness and indications for its use remains open.

Aim: to evaluate the first experience of using a vacuum bell in the treatment of pectus excavatum in children.

Materials and methods: Vacuum Bell is a device consisting of a sight glass, silicone ring and manual pump, lifting a chest wall deformities through a vacuum. The selection of the device is carried out individually depending on the growth and shape of the ventral surface of the chest. According to the instructions, the vacuum bell should be used daily a minimum 1 hour per day. All patients underwent a standardized assessment of the results of treatment every 3-6 months: measuring the depth of deformation, visual treatment control, analysis of photo documentation, questionnaires.

Results: In the N.F. Filatov Children’s Hospital from 2015 to 2021 analyzed the results of treatment of 35 children using Vacuum Bell from 6 to 36 months. Patients were divided into two groups depending on the percentage of deformation correction. The first group included 23 patients (65.7%), the percentage of correction was to> 50%. The second group included 12 patients (34.3%), the percentage of correction was <50%. The main differences in these groups have influenced the result is the age of the beginning of treatment, the regularity of use, and the time of daily use. In the first group, the average age was 8.7 ± 2.69 years, the daily use time is on average 5.7 ± 2.04 hours/day, in the second group is 13.7 ± 3.56 years, the time of daily use is on average 3, 6 ± 1.61 hours/day.

Conclusions: Vacuum Bell-therapy is an effective and safe method for correcting the Pectus Excavatum in children, and in some cases can be an alternative to a surgical treatment method.

Key words: Pectus excavatum (PE); conservative treatment; vacuum bell (VB); Minimally Invasive Repair of Pectus Excavatum (MIRPE)

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For citation: Alena O. Shominova, Zorikto B. Mitupov, Alexander Yu. Razumovsky – THE FIRST EXPERIENCE OF USING A VACUUM BELL IN THE TREATMENT OF PECTUS EXCAVATUM IN CHILDREN //New Day in Medicine 2023 10(60): 2-10 https://newdaymedicine.com/index.php/2023/10/05/l-389/

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