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Factors determining the complications in Nuss procedure
Özgür Katrancıoğlu1, Yücel Akkaş2, Tuba Şahinoğlu3
1Department of Thoracic Surgery, Medicine Faculty of Cumhuriyet University, Sivas, Turkey.
Turk Gogus Kalp Damar Cerrahisi Dergisi
|February 22, 2020
Summary
The Nuss procedure for pectus excavatum is safe and effective, with minimal pneumothorax and bar dislocation as common complications. Male patients and those over 23 face higher risks.
Area of Science:
- Thoracic surgery
- Minimally invasive procedures
- Pediatric surgery
Background:
- The Nuss procedure is a common surgical technique for correcting pectus excavatum.
- Understanding and managing complications is crucial for patient outcomes.
- This study reviews experiences with Nuss procedure complications.
Purpose of the Study:
- To report on complications encountered after the Nuss procedure.
- To analyze risk factors associated with complication development.
- To evaluate the safety and efficacy of the Nuss procedure.
Main Methods:
- Retrospective assessment of 59 patients who underwent the Nuss procedure.
- Data collected included patient demographics, surgical details, complications, and hospitalization.
- Statistical analysis using Fisher's chi-square test and logistic regression.
Main Results:
- No severe complications like death or organ injury occurred.
- Minimal pneumothorax was the most frequent early complication (27.1%).
- Bar dislocation was the most common late complication (8.3%).
Conclusions:
- Male gender and age over 23 are risk factors for complications.
- The Nuss procedure is a safe and manageable approach with low complication rates.
- The procedure is recommended for selected patients with pectus excavatum.
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