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Journal of Cardiothoracic Surgery

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Open Access 01-12-2021 | Incision | Research article

Modified Nuss operation using introducer-bar complex for pectus excavatum in adults: a retrospective study

Authors: Lei Wang, Juan Liu, Yao Li, Tienan Feng, Beibei Cao, Haibo Xiao, Fengqing Hu, Guoqing Li

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

Abstract

Background

Shortcoming of traditional Nuss operation on adults is gradually found in the clinical practice. A new kind of introducer-bar complex was introduced. However, there is limited evidence regarding its safety and efficacy. Therefore, a single center, retrospective study was conducted to address this issue.

Methods

Patients with pectus excavatum who underwent surgery between January 2015 and June 2017 were consecutively enrolled in this study. In all, 52 patients underwent the modified procedure using the introducer-bar complex (new procedure group), whereas 48 underwent the traditional anti-Nuss procedure (traditional procedure group). Outcomes analysis of balanced baseline was performed to compare the intraoperative and postoperative short-term outcomes.

Results

All patients in the new procedure group had shorter operation duration (51.54 ± 20.32 vs. 79.45 ± 13.88 min, p = 0.017), postoperative hospitalizations (4.77 ± 1.62 vs. 6.86 ± 2.18 days, p = 0.028), plate removal surgery durations (39.30 ± 8.97 vs. 60.30 ± 10.49 min, p < 0.001), and less blood loss during operation (6.25 ± 4.88 vs. 10.90 ± 5.75 ml, p = 0.003) than patients in the traditional procedure group. There was no significant difference in the length of incision, postoperative Haller index, cost, number of steel bars, postoperative surgical outcome and incidence of complications between the two groups.

Conclusion

Through the main clinical outcome were similar, our results shown that modified procedure may have the shorter operation time, postoperative hospital stay, and operation time for plate removal and less blood loss, which may bring potential clinical benefits to patients.

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Title: Modified Nuss operation using introducer-bar complex for pectus excavatum in adults: a retrospective study
Authors: Lei Wang
Juan Liu
Yao Li
Tienan Feng
Beibei Cao
Haibo Xiao
Fengqing Hu
Guoqing Li
Publication date: 01-12-2021
Publisher: BioMed Central
Keyword: Incision
Published in: Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-021-01624-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Modified Nuss operation using introducer-bar complex for pectus excavatum in adults: a retrospective study

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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