RT Journal Article
SR Electronic
T1 One-institution initial experience with Nuss procedure on eleven patients
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA1512
DO 10.1183/13993003.congress-2015.PA1512
VO 46
IS suppl 59
A1 Kostic, Marko
A1 Jovanovic, Branislav
A1 Atanasijadis, Nikola
A1 Popovic, Marko
A1 Asujic, Dragana
YR 2015
UL http://erj.ersjournals.com/content/46/suppl_59/PA1512.abstract
AB Objectives: the Nuss procedure is a new minimally invasive technique for the repair of pectus excavatum. Although widely accepted, some aspects of the real benefitt over the modified Ravitch procedure are still to be clarified.Methods: we describe early one-institution results in the period April 2013-Seprember 2014. Eleven patients were operated, aged 17-29,5 years (mean 20,3years). There were 9 males and 2 females. Preoperative work up consisted of clinical examination, chest x-ray, echocardiography, CT of the thorax and spirometry.Results: Haller's CT index ranged from 2,9-7,5 (average 4,15). Average operative time was 1h15minmin and all patients were extbated in t he operating room. In all but one patients, a single support bar (13-17inches) was used, with stabilizer on the right side. In one patient two pectus bars were placed. The hospital stay was 8-12 days. After one month, patients could resume their usual activities, and after 3 months, they gained full physical competence. Early postoperative complications included 3 pleural effusion, one was resolved sponaneuosly and two with several plural punctions. One delayed complication was bending of a inplanted bar, one month after the procedure.Conclusion: owing to short operating time, no need for costal cartilages resection and better cosmetic results, the Nuss procedure is very suitable for symetric chest deformities. However, its use should be carefully evaluated in young adults.