BIẾN CHỨNG DI LỆCH THANH SAU PHẪU THUẬT NUSS ĐIỀU TRỊ LÕM NGỰC BẨM SINH

Abstract

Objective: This study aimed to determine the prevalence and associated factors of bar displacement following the Nuss procedure for pectus excavatum at University Medical Center Ho Chi Minh City. Methods: A retrospective case series was conducted on 524 patients who underwent Nuss procedure from March 2008 to May 2023. Collected variables included demographic data, clinical characteristics, Haller index, BMI, history of respiratory infections, and surgical details. Results: The prevalence of bar displacement was 2.67%. Two factors significantly associated with displacement were low BMI (<18.5) (p = 0.006) and prolonged history of respiratory infections (p = 0.038). Other factors such as age, sex, Haller index, and chest wall morphology showed no significant association. Conclusion: Bar displacement is a rare but important complication that can compromise treatment outcomes. Early identification of risk factors such as low BMI and chronic respiratory conditions may help improve prognosis and guide the selection of appropriate fixation strategies in the surgical management of pectus excavatum.