Article Sidebar

PDF
Date Published: 26/04/2022
Abstract Views: 213
Views PDF: 110
DOI: https://doi.org/10.51298/vmj.v512i2.2315
Issue
Vol. 512 No. 2 (2022)
Section
Các bài báo
How to Cite
Hữu Lư, P. ., & Văn Bộ, V. . (2022). COMPLICATION OF MODIFIED NUSS PROCEDURE TECHNIQUES IN TREATMENT OF PECTUS EXCAVATUM. Vietnam Medical Journal, 512(2). https://doi.org/10.51298/vmj.v512i2.2315

COMPLICATION OF MODIFIED NUSS PROCEDURE TECHNIQUES IN TREATMENT OF PECTUS EXCAVATUM

Phạm Hữu Lư1,2,, Vũ Văn Bộ3
1 Vietnam-Germany Friendship Hospital
2 Hanoi Medical University
3 Vinh Phuc General Hospital

Main Article Content

Abstract

Objectives: Describe complications of the modified Nuss surgical technique and comment on the results of this technique. Methods: A retrospective descriptive study of modified Nuss procedure for pectus excavatum on some variables such as classification of pectus excavatum, duration of surgery, length of hospital stay, accidents - complications.... Results: The modified Nuss procedure technique was performed in 189 patients with mean age 15.51±3,042 (7-24). Male: 85.2%, female: 14.8%. Types IA and IB: 84.7%. The average operative time was 45,76 ± 13,178 minutes (20 - 105). The average postoperative hospital stays 5,32 ± 2,433 days (3-35). There were no intraoperative accidents. Post-operative complications: 02 cases of post-operative gas residual, 01 case of postoperative pneumothorax due to rupture of bullae and 01 case of chest wall infection. No deaths. Conclusion: The modified Nuss procedure technique is easy to deploy, safe, effective and has few complications in the treatment of pectus excavatum.

Article Details

Keywords

Pectus excavatum, modified Nuss procedure, complication

References

1. Nuss D., Kelly R.E., Croitoru D.P., et al. (1998). A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg, 33(4), 545–552.
2. Pawlak K., Gąsiorowski Ł., Gabryel P., et al. (2018). Video-assisted-thoracoscopic surgery in left-to-right Nuss procedure for pectus excavatum for prevention of serious complications – technical aspects based on 1006 patients. Videosurgery Miniinvasive Tech, 13(1), 95–101.
3. Nath D.S., Wells W.J., and Reemtsen B.L. (2008). Mechanical occlusion of the inferior vena cava: an unusual complication after repair of pectus excavatum using the nuss procedure. Ann Thorac Surg, 85(5), 1796–1798.
4. Erşen E., Demirkaya A., Kılıç B., et al. (2016). Minimally invasive repair of pectus excavatum (MIRPE) in adults: is it a proper choice? Wideochirurgia Inne Tech Maloinwazyjne Videosurgery Miniinvasive Tech, 11(2), 98–104.
5. Kim D.Y. and Jeong J.Y. (2020). Penetrating lung injury during Nuss procedure for pectus excavatum. J Cardiothorac Surg, 15(1), 184.
6. Vegunta R.K., Pacheco P.E., Wallace L.J., et al. (2008). Complications associated with the Nuss procedure: continued evolution of the learning curve. Am J Surg, 195(3), 313–316; discussion 316-317.
7. Palmer B., Yedlin S., and Kim S. (2007). Decreased risk of complications with bilateral thoracoscopy and left-to-right mediastinal dissection during minimally invasive repair of pectus excavatum. Eur J Pediatr Surg Off J Austrian Assoc Pediatr Surg Al Z Kinderchir, 17(2), 81–83.
8. Richard J Hendrickson, Denis D Bensard, Joseph S Janik, David A Partrick (2005). Efficacy of left thoracoscopy and blunt mediastinal dissection during the Nuss procedure for pectus excavatum. J Pediatr Surg; 40(8): 1312 - 1314.
9. Croitoru D.P., Kelly R.E., Goretsky M.J., et al. (2002). Experience and modification update for the minimally invasive Nuss technique for pectus excavatum repair in 303 patients. J Pediatr Surg, 37(3), 437–445.