Nuss procedure: decrease in bar movement requiring reoperation with primary placement of two bars

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Amy B StanfillRichard H Pearl

Abstract

The Nuss procedure, first reported in 1998, is currently the treatment of choice for pectus excavatum. The most significant bar-related complication documented is bar movement, requiring reoperation in 3.4%-27% of reports. Our report compares the initial placement of one Nuss bar versus two to prevent bar displacement. An Institutional Review Board-approved, retrospective chart review was performed of all Nuss procedures performed from November 2000 through February 2010. Since November 2006, all initial Nuss procedures were started with the intent of placing two bars. Haller index, patient demographics, duration of surgery, length of stay, postoperative wound infections, and bar movement requiring reoperation were collected and compared for the one-bar versus two-bar patient populations. In total, 85 Nuss procedures (58 with one-bar and 27 with two-bar primary Nuss procedures) were analyzed. Two attending pediatric surgeons performed all the procedures. Reoperation for bar movement when one bar was initially placed occurred in 9 patients (15.5%). No patients with initial placement of two bars required operative revision for a displaced Nuss bar (15.5% versus 0%, P=.05). Patient age and Haller index were not statistically diffe...Continue Reading

References

Oct 9, 2002·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·D NussT S Gustin
Oct 12, 2002·Journal of the American College of Surgeons·Eric W Fonkalsrud, Brian Reemtsen
May 28, 2003·Pediatric Surgery International·Sadashige UemuraYasuhiro Choda
Dec 12, 2003·Zentralblatt für Chirurgie·F Marusch, I Gastinger
Jan 17, 2004·The Annals of Thoracic Surgery·Hyung Joo ParkKihl Roh Lee
Jan 1, 2005·Adolescent Medicine Clinics·Michael J GoretskyDonald Nuss
Jun 10, 2005·ANZ Journal of Surgery·Caroline C P OngAlex Auldist
Mar 12, 2010·World Journal of Surgery·Yoo Sang YoonJhingook Kim

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Citations

Aug 6, 2014·Journal of Pediatric Surgery·L E McMahonD M Notrica
May 25, 2013·Journal of Pediatric Surgery·Wenliang LiuBangliang Yin
Mar 19, 2015·Journal of Pediatric Surgery·Hyung Joo ParkSungsoo Lee
Nov 25, 2014·World Journal of Pediatrics : WJP·Ki Hwan KimHyung Joo Park
Jun 11, 2016·The Annals of Thoracic Surgery·Dawn E JaroszewskiDavid M Notrica
Aug 12, 2016·Annals of Thoracic Medicine·Osman Zeki KarakuşFeza Mirac Akgür
Sep 11, 2019·Interactive Cardiovascular and Thoracic Surgery·David PérezLuis López
Nov 9, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Paul M JeziorczakCharles J Aprahamian

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