{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:36:43Z","timestamp":1768433803402,"version":"3.49.0"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T00:00:00Z","timestamp":1588032000000},"content-version":"vor","delay-in-days":118,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Indications for the surgical correction of pectus excavatum include functional\/physiological, cosmetic, and psychosocial reasons. The most popular open technique for pectus excavatum repair was proposed by Ravitch in 1949 as an open approach that requires partial resection of the costal cartilage, xiphoid excision, and osteotomy of the sternum. The goal is to remove abnormal rib cartilage while preserving the perichondrium, allowing regrowth of the rib cartilage to the sternum in a more anatomic manner. Operative technique. We present a case of bilateral pectoralis muscle flap transposition during a modified Ravitch procedure is presented herein. Conclusion: This approach allows for a significant reduction in late complications and improves both functional and aesthetic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.04.059","type":"journal-article","created":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T00:17:25Z","timestamp":1589156245000},"page":"106-109","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Pectus excavatum correction enhanced by pectoralis muscle transposition"],"prefix":"10.1097","volume":"70","author":[{"given":"Beatrice","family":"Aramini","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uliano","family":"Morandi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgio","family":"De Santis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessio","family":"Baccarani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-24-20260114","doi-asserted-by":"crossref","first-page":"409","DOI":"10.21037\/acs.2016.08.06","article-title":"Ravitch versus Nuss procedure for pectus excavatum: systematic review and meta-analysis","volume":"5","author":"Kanagaratnam","year":"2016","journal-title":"Ann. Cardiothorac. Surg"},{"key":"R2-24-20260114","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1308\/rcsann.2016.0254","article-title":"Choosing between the modified Ravitch and Nuss procedures for pectus excavatum: considering the patients\u2019s perspective","volume":"98","author":"Elsayed","year":"2016","journal-title":"Ann. R. Coll. Surg. Engl"},{"key":"R3-24-20260114","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1097\/00000658-194904000-00002","article-title":"The operative treatment of pectus excavatum","volume":"129","author":"Ravitch","year":"1949","journal-title":"Ann. Surg"},{"key":"R4-24-20260114","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1016\/S1010-7940(98)00190-0","article-title":"Migration of pectus excavatum correction metal support into the abdomen","volume":"14","author":"Stefani","year":"1998","journal-title":"Eur. J. Cardio-Thoracic Surg"},{"key":"R5-24-20260114","doi-asserted-by":"crossref","first-page":"e51","DOI":"10.1055\/s-0039-1692195","article-title":"Devastating complications of metal strut migration following pectus excavatum repair","volume":"7","author":"Stajevic","year":"2019","journal-title":"Eur. J. Pediatr. Surg. Rep"},{"key":"R6-24-20260114","doi-asserted-by":"crossref","first-page":"e2378","DOI":"10.1097\/GOX.0000000000002378","article-title":"Pectoralis muscle transposition in association with the ravitch procedure in the management of severe pectus excavatum","volume":"7","author":"Baccarani","year":"2019","journal-title":"Plastic Reconstruct. Surg. \u2013 Global Open"},{"key":"R7-24-20260114","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.jpedsurg.2018.10.011","article-title":"Vacuum bell treatment of pectus excavatum: an early North American experience","volume":"54","author":"St-Louis","year":"2019","journal-title":"J. Pediatr. Surg"},{"key":"R8-24-20260114","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1016\/j.ijscr.2019.12.023","article-title":"Wound complication after modified Ravitch for pectus excavatum: a case of conservative treatment enhanced by pectoralis muscle transposition","volume":"66","author":"Aramini","year":"2020","journal-title":"Int. J. Surg. Case Rep"},{"key":"R9-24-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220302522?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220302522?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.04.059","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:32:17Z","timestamp":1768397537000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.04.059"}},"subtitle":["A new approach"],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":9,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.04.059","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}