The search for stability: bar displacement in three series of pectus excavatum patients treated with the Nuss technique

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorTEDDE, Miguel Lia
dc.contributor.authorCAMPOS, Jose Ribas Milanez de
dc.contributor.authorDAS-NEVES-PEREIRA, Joao-Carlos
dc.contributor.authorABRAO, Fernando Conrado
dc.contributor.authorJATENE, Fabio Biscegli
dc.date.accessioned2017-11-27T16:24:40Z
dc.date.available2017-11-27T16:24:40Z
dc.date.issued2011
dc.description.abstractOBJECTIVES: To compare bar displacement and complication rates in three retrospective series of patients operated on by the same surgical team. METHOD: A retrospective medical chart analysis of the three patient series was performed. In the first series, the original, unmodified Nuss technique was performed. In the second, we used the ""third point fixation"" technique, and in the last series, the correction was performed with modifications to the stabilizer and stabilizer position. RESULTS: There were no deaths in any of the series. Minor complications occurred in six (4.9%) patients: pneumothorax with spontaneous resolution (2), suture site infection (2), and bar displacement without the reoperation need (2). Major complications were observed in eight (6.5%) patients: pleural effusion requiring drainage (1), foreign body reaction to the bar (1), pneumonia and shock septic (1), cardiac perforation (1), skin erosion/seroma (1), and displacement that necessitated a second operation to remove the bar within the 30 days of implantation (3). All major complications occurred in the first and second series. CONCLUSION: The elimination of fixation wires, the use of shorter bars and redesigned stabilizers placed in a more medial position results in a better outcome for pectus excavatum patients treated with the Nuss technique. With bar displacement and instability no longer significant postoperative risks, the Nuss technique should be considered among the available options for the surgical correction of pectus excavatum in pediatric patients.
dc.description.indexMEDLINE
dc.identifier.citationCLINICS, v.66, n.10, p.1743-1746, 2011
dc.identifier.doi10.1590/S1807-59322011001000012
dc.identifier.issn1807-5932
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/22761
dc.language.isoeng
dc.publisherHOSPITAL CLINICAS, UNIV SAO PAULO
dc.relation.ispartofClinics
dc.rightsopenAccess
dc.rights.holderCopyright HOSPITAL CLINICAS, UNIV SAO PAULO
dc.subjectPectus excavatum
dc.subjectNuss technique
dc.subjectPectus bar
dc.subjectBar displacement
dc.subjectBar instability
dc.subject.otherrepair
dc.subject.othercomplications
dc.subject.otherevolution
dc.subject.wosMedicine, General & Internal
dc.titleThe search for stability: bar displacement in three series of pectus excavatum patients treated with the Nuss technique
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryFrança
hcfmusp.affiliation.countryisofr
hcfmusp.author.externalDAS-NEVES-PEREIRA, Joao-Carlos:Hosp Europeen Georges Pompidou, Paris, France
hcfmusp.author.externalABRAO, Fernando Conrado:Univ Sao Paulo, Fac Med, Hosp Clin, Heart Inst InCor,Dept Thorac Surg, Sao Paulo, Brazil
hcfmusp.citation.scopus31
hcfmusp.contributor.author-fmusphcMIGUEL LIA TEDDE
hcfmusp.contributor.author-fmusphcJOSE RIBAS MILANEZ DE CAMPOS
hcfmusp.contributor.author-fmusphcFABIO BISCEGLI JATENE
hcfmusp.description.beginpage1743
hcfmusp.description.endpage1746
hcfmusp.description.issue10
hcfmusp.description.volume66
hcfmusp.origemWOS
hcfmusp.origem.pubmed22012046
hcfmusp.origem.scopus2-s2.0-80054771647
hcfmusp.origem.wosWOS:000296015500012
hcfmusp.publisher.citySAO PAULO
hcfmusp.publisher.countryBRAZIL
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hcfmusp.scopus.lastupdate2024-05-17
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