Outcomes in adult pectus excavatum patients undergoing Nuss repair

Ewais, MennatAllah M.; Chaparala, Shivani; Uhl, Rebecca; Jaroszewski, Dawn E.

doi:10.2147/prom.s117771

Cited by 28 publications

(19 citation statements)

References 106 publications

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“…The benefit of conducting MIRPE at an early age is the more flexible chest wall and the existence of a bar during the growth spurt in puberty. However, MIRPE can also be performed in adults [ 6 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

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Failed preoperative vacuum bell therapy does not affect outcomes following minimally invasive repair of pectus excavatum

et al. 2021

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Purpose It is unknown if failed preoperative vacuum bell (VB) treatment in patients undergoing minimally invasive repair of pectus excavatum (MIRPE), delays repair and/or affects postoperative outcomes. Methods A retrospective data analysis including all consecutive patients treated at one single institution undergoing MIRPE was performed between 2000 and 2016. Patients were stratified into preoperative VB therapy versus no previous VB therapy. Results In total, 127 patients were included. Twenty-seven (21.3%) patients had preoperative VB treatment for 17 months (median, IQR 8–34). All 27 patients stopped VB treatment due to the lack of treatment effect. Eight (47.1%) of 17 assessed VB patients showed signs of skin irritation or hematoma. VB treatment had no effect on length of hospital stay (p = 0.385), postoperative complications (p = 1.0), bar dislocations (p = 1.0), and duration of bar treatment (p = 0.174). Time spent in intensive care unit was shorter in patients with VB therapy (p = 0.007). Long-term perception of treatment including rating of primary operation (p = 0.113), pain during primary operation (p = 0.838), own perspective of look of chest (p = 0.545), satisfaction with the procedure (p = 0.409), and intention of doing surgery again (p = 1.0) were not different between groups. Conclusions Failed preoperative VB therapy had no or minimal effect on short-term outcomes and long-term perceptions following MIRPE.

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Section: Discussionmentioning

confidence: 99%

“…Clinical manifestations may comprise dyspnea, fatigue during activities, decreased endurance, anterior chest pain and tachycardia. Furthermore, the disfigurement can lead to social withdrawal, low selfesteem, harassment by peers, anxiety, and feelings of stigma and shame, resulting in reduced mental quality of life [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Failed preoperative vacuum bell therapy does not affect outcomes following minimally invasive repair of pectus excavatum

et al. 2021

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“…Одной из наиболее сложных, клинически значимых и, в тоже время, наиболее часто встречающихся форм деформаций грудной клетки является воронкообразная деформация грудной клетки (ВДГК) [1].…”

Section: Introductionunclassified

Rib deformity correction in children with pectus excavatum

Kolesov

Васильевич²,

Хаспеков

et al. 2020

Priorov J. of Traum. & Orthoped.

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The article is devoted to a comparative analysis of the surgical treatment of pectus excavatum. A prospective, single-center, non-randomized study of the immediate results of the correction of pectus excavatum in children and adolescents is presented. Material and methods. The treatment results of 40 patients (27 men and 13 women) aged 3 to 18 years, operated between March 2005 and March 2016 were analyzed. All patients were examined according to the standard algorithm: chest MSCT, spirometry. All patients were divided into 2 groups. Group I patients operated on by the open resection method with plastic surgery of the costal arches (n=27). Group II patients operated with the use of minimally invasive technology according to NUSS, which does not provide for correction of deformation of costal arches (n=13). Results. In group II, significantly less blood loss was noted (35.7 ml versus 137 ml in group I, p0.05), shorter duration of surgery (230 min versus 27.5 min in group I, p0.05). It is worth noting the earlier discharge from the hospital in patients with minimally invasive correction of deformity. Conclusion. Minimally invasive thoracoplasty is an effective way to correct pectus excavatum in children and adolescents, which can significantly reduce the duration of surgery and intraoperative blood loss, is comparable in basic terms with reconstructive surgery, but inferior due to the lack of correction of deformation of the rib arches.

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“…In this issue of the Journal, Cheng and colleagues 1 add to the growing data on PE and reinforce the finding that patients with PE have poorer quality of life than the general population. 2 Furthermore, they are the first to demonstrate poorer sleep quality than patients without PE. Notable as well is the improvement in sleep quality after PE repair using the Pittsburgh Sleep Quality Index.…”

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confidence: 99%