Short-term Outcomes After Pectus Excavatum Repair in Adults and Children

Kauffman, Jeremy D.; Benzie, Annie Laurie; Snyder, Christopher W.; Danielson, Paul D.; Chandler, Nicole M.

doi:10.1016/j.jss.2019.06.069

Cited by 9 publications

(3 citation statements)

References 31 publications

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“…Our data and the above literature conflicts with the single previously published large database study evaluating outcomes for adult patients undergoing repair. This study showed no difference in complication rates when comparing pediatric and adult patients treated with modified Nuss procedure (9). It is unclear what underlying differences in data or analysis may have led to these conflicting results.…”

Section: Discussionmentioning

confidence: 58%

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National trends in pectus excavatum repair: patient age, facility volume, and outcomes

Mack¹,

Till²,

Huang³

et al. 2022

J Thorac Dis

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Background: There is limited data on the adult repair of pectus excavatum (PE). Existing literature is largely limited to single institution experiences and suggests that adults undergoing modified Nuss repair may have worse outcomes than pediatric and adolescent patients. Using a representative national database, this analysis is the first to describe trends in demographics, outcomes, charges, and facility volume for adults undergoing modified Nuss procedure.Methods: Because of a coding change associated with ICD-10, a retrospective cohort analysis using the National Inpatient Sample (NIS) for patients 12 or older undergoing modified Nuss repair between 2016-2018 was possible. Pearson's χ 2 and Student's t-tests were utilized to compare patient, clinical, and hospital characteristics. Complications were sub-classified into major and minor categories. Facilities performing greater than the mean number of operations were categorized as high-volume.Results: Of 360 patients, 79.2% were male. There was near gender parity for patients over 30 undergoing repair (55.2% male, 44.8% female). In all age cohorts, patients were predominantly Caucasian. Rates of any postoperative complication differed by age (12-17 years: 30.6%; 18-29 years: 45.2%; 30+ years: 62.1%; P<0.01); older patients had higher rates of all but two subclasses of complication.

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Section: Discussionmentioning

confidence: 58%

“…It remains unclear if these institutional trends are corroborated by national level data. The single prior study utilizing a national database found no significant differences in complications rates between pediatric and adult patients undergoing modified Nuss procedure (9).…”

Section: Original Articlementioning

confidence: 90%

National trends in pectus excavatum repair: patient age, facility volume, and outcomes

Mack¹,

Till²,

Huang³

et al. 2022

J Thorac Dis

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“…Dehiscence of the surgical wound accompanied by infection is not very frequent in paediatric patients after pectus excavatum repair [ 17 , 22 ]. In our study, it occurred in 5% of the subjects.…”

Section: Discussionmentioning

confidence: 99%

Long-term results after the modified Ravitch procedure performed in children and adolescents – a one-time procedure without the need to use additional support of the sternum. A retrospective study

Buchwald¹,

Ligarski²,

Polewczyk³

2020

kitp

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Introduction Pectus excavatum is a depression of the sternum. Pectus carinatum, in contrast, is the convexity of the sternum. The mixed form is an intermediate condition. Surgical intervention is the treatment of choice. The techniques most commonly used include the Ravitch and the Nuss procedures. Aim To assess the immediate and long-term results of the original modification of the surgical treatment for anterior chest wall deformation. Material and methods The modification is based on the Ravitch procedure. The difference is that the ends of the resected cartilages are shaped like a blade in order to be inserted into the previously prepared wedge-shaped hollows located on both edges of the sternum. The result is long lasting without the need to use additional brackets. Results The follow-up examinations performed in 72 patients, including 57 boys and 15 girls, were the basis to produce long-term results. As for the type of deformity, out of 57 patients operated on due to pectus excavatum, 43 expressed satisfaction with the very good result. Similar satisfaction was reported in 7 out of 11 patients operated on due to pectus carinatum. There were 4 cases with the mixed form who had very good long-term results. Wound dehiscence was observed in 13 subjects, with one documented recurrence. Conclusions The alternative treatment we propose is a one-time procedure without the need to use additional support of the sternum. Good long-term results make the procedure suitable to be used more frequently in all types of deformities.

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“When to Nuss? patient age as a risk factor for complications of minimally invasive repair of pectus excavatum: a systematic review and meta-analysis”

et al. 2022

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Short-term Outcomes After Pectus Excavatum Repair in Adults and Children

Cited by 9 publications

References 31 publications

National trends in pectus excavatum repair: patient age, facility volume, and outcomes

National trends in pectus excavatum repair: patient age, facility volume, and outcomes

Long-term results after the modified Ravitch procedure performed in children and adolescents – a one-time procedure without the need to use additional support of the sternum. A retrospective study

“When to Nuss? patient age as a risk factor for complications of minimally invasive repair of pectus excavatum: a systematic review and meta-analysis”

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