Patient Satisfaction After Minimally Invasive Repair of Pectus Excavatum in Adults: Long-Term Results of Nuss Procedure in Adults

The Annals of Thoracic Surgery
Maria Grazia Sacco CasamassimaPaul M Colombani

Abstract

Extensive literature has proved that the Nuss procedure leads to permanent remodeling of the chest wall in pediatric patients with pectus excavatum (PE). However, limited long-term follow-up data are available for adults. Herein, we report a single-institution experience in the management of adult PE with the Nuss procedure, evaluating long-term outcomes and overall patient satisfaction after bar removal. Adult patients who underwent PE repair with a modified Nuss procedure between January 1998 and June 2011 were retrospectively identified. Outcomes of interest were postoperative pain, recurrence, and patient satisfaction. A modified single-step Nuss questionnaire was administered to evaluate patient satisfaction and quality-of-life improvement after PE repair. Ninety-eight patients with a median age of 30.9 years (range, 21.8 to 55.1 years) at the time of repair were identified. One bar was placed in most patients (89.7%). Four patients (4.1%) required reoperation for bar displacement. Results after bar removal were overall satisfactory in 94.4% of patients; 2 patients required reoperation for recurrence. Thirty-nine patients participated in the survey. Satisfaction with chest appearance was reported by 89.7% of responders. Se...Continue Reading

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Citations

Aug 17, 2020·General Thoracic and Cardiovascular Surgery·Sadashige UemuraHisako Kuyama
Jan 23, 2021·The Journal of Thoracic and Cardiovascular Surgery·Erik R de LoosYvonne L J Vissers
Nov 13, 2020·The Annals of Thoracic Surgery·Erik R de LoosYvonne L J Vissers
Jan 19, 2021·BJA Education·T GhafoorI Hunt
Jun 29, 2021·Annals of Plastic Surgery·Christopher Wei Guang HoChong-Hee Lim

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