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Journal of Cardiothoracic Surgery

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Open Access 01-12-2008 | Review

Peri-operative data on the nuss procedure in children with pectus excavatum: independent survey of the first 20 years' data

Authors: Aristotle D Protopapas, Thanos Athanasiou

Published in: Journal of Cardiothoracic Surgery | Issue 1/2008

Abstract

Objective

To review the literature and assess the cumulative data on the Nuss operation in children on its twenty years' anniversary: The Nuss procedure corrects the pectus excavatum by minimal access semi-permanent insertion of metal bars in order to reduce the deformity and refashion the contour of the growing thorax. The advantage over previous techniques is avoidance of osteochondrotomies and thence allowance for normal growth of the thorax.

Study design

PubMed search was performed. Primary outcomes were mortality, morbidity and individual complications. Secondary outcomes were procedure time and hospital stay.

Results

We merged the data from 19 reports comprising 1949 children of mean age 10.6 years.

No mortality was observed and the procedure was associated with morbidity of 15.4%. The commonest complications are bar-related adverse events (5.7%) and pneumothorax (3.5%). The average procedure time and the average hospital stay were 68 minutes and 5.5 days respectively.

Conclusion

20 years of initial evidence suggests that the Nuss group of procedures is a safe minimal access option for correction of pectus excavatum in childhood.

Available only for authorised users

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Title: Peri-operative data on the nuss procedure in children with pectus excavatum: independent survey of the first 20 years' data
Authors: Aristotle D Protopapas
Thanos Athanasiou
Publication date: 01-12-2008
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2008
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/1749-8090-3-40

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Peri-operative data on the nuss procedure in children with pectus excavatum: independent survey of the first 20 years' data

Abstract

Objective

Study design

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Study design

Results

Conclusion

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