Analyzing Effectiveness of Routine Pleural Drainage After Nuss Procedure: A Randomized Study

Abstract

Routine drainage of the pleural cavity during the Nuss procedure significantly reduces the incidence of postoperative pneumothorax and should be considered as a routine procedure.

The Nuss procedure for pectus excavatum: An effective and safe approach using bilateral thoracoscopy and a selective approach to use multiple bars in 296 adolescent and adult patients

“…The complication rate was mostly reported to be higher in adults [4,[7][8][9]. Modifications for improving the efficacy and safety of the Nuss procedure include the use of split-lung ventilation with CO 2 insufflation [3,5], forced sternal elevation [5,26], bilateral application of the thoracoscope bilaterally [9,27], improvement in fixation of bars [3,5,26], routine pleural drainage [9,28], and multiple bar support [4][5][6]. Cardiac injury is the most serious complication.…”

Clinical application of enhanced recovery after surgery (ERAS) in pectus excavatum patients following Nuss procedure

“…The routine use of postoperative pleural cavity drainage after the Nuss procedure is not widely accepted, and its limited use depends on experience. Pawlak et al (26) reported their study of analyzing the influence of pleural drainage in the Nuss procedure treatment of 103 patients with pectus excavatum on the prevention of pneumothorax and the efficacy of using drainage after a corrective operation from November 2013 to May 2015. They found that patients without drainage manifested more complications in the early postoperative period, and pneumothorax requiring additional chest tube placement was statistically significant with other complications also being more frequent.…”