Pectus excavatum surgery: sternochondroplasty versus Nuss procedure

The Annals of Thoracic Surgery
Marlos de Souza CoelhoLucas de Matos Fernandes

Abstract

The repair of pectus excavatum (PE) by minimally invasive Nuss surgery is well established, but its complication rate is high and its indication is indiscriminate. Sternochondroplasty (SCP) provides good results with a low complication rate but requires a small transverse incision. To compare SCP and Nuss, we analyzed 40 patients with PE who underwent surgery (SCP, n = 20; Nuss, n = 20). Thirty subjects (75.0%) were male and 10 (25.0%) were female. In the SCP group, 9 (45.0%) had symmetric PE, and 11 (55.0%) had asymmetric PE. In the Nuss group, 17 (85%) had symmetric PE, and 3 (15%) had asymmetric PE (p = 0.020). The mean duration of SCP was 229.5 minutes, and the mean duration of Nuss was 54.3 minutes. The average length of hospital stay was 4 days with SCP and 6.3 days with Nuss (p = 0.172). The SCP results were favorable in 18 subjects (90%) and fair in 2 subjects (10%). In the Nuss group, we observed 17 patients (85.0%) with favorable results and 3 (15.0%) with poor results. Patients with asymmetric PE exhibited severe pectus carinatum. No complications were found in 17 patients (85%) in the SCP group. In the Nuss group, 9 patients (45.0%) had 13 complications (65.0%; p = 0.004). Sternochondroplasty surgery yielded better ...Continue Reading

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Citations

Dec 2, 2010·International Orthopaedics·Mirko Žganjer, Vlasta Žganjer
Aug 29, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Francesco PumaStefano Santoprete
Mar 8, 2012·Interactive Cardiovascular and Thoracic Surgery·Christoph BrochhausenC James Kirkpatrick
Nov 7, 2012·The Korean Journal of Thoracic and Cardiovascular Surgery·Chang Hyun KangJoo Hyun Kim
Feb 11, 2014·Journal of Cardiothoracic Surgery·William Rainey JohnsonSunil Singhal
Jul 24, 2010·The Journal of Thoracic and Cardiovascular Surgery·Tomohisa NagasaoKazuo Kishi
Sep 28, 2010·The Annals of Thoracic Surgery·Serdar Evman, Mustafa Yuksel
Apr 10, 2012·Orthopaedics & Traumatology, Surgery & Research : OTSR·A WurtzR Nevière
Feb 27, 2014·Asian Cardiovascular & Thoracic Annals·Akin Eraslan BalciMehmet Oguzhan Ozyurtkan
Sep 18, 2014·Asian Cardiovascular & Thoracic Annals·Reza BagheriAta'ollah Rajabnejad
Oct 30, 2014·The Cochrane Database of Systematic Reviews·Paulo Eduardo de Oliveira CarvalhoAntonio José Maria Cataneo
Nov 2, 2018·Annals of Plastic Surgery·David BuziashviliPeter J Taub
Nov 24, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Hiroomi OkuyamaKoichi Deguchi
Apr 4, 2021·The Annals of Thoracic Surgery·Jose R MatillaKonrad Hoetzenecker

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