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Post bar removal results of pectus deformity patients who underwent minimally invasive correction

INTRODUCTION: The most common chest wall deformities are pectus excavatum and pectus carinatum. Surgical repair of these deformities via minimally invasive technique using pectus bars is commonly preferred by numerous thoracic surgeons. Despite this common choice for treatment, the duration of the b...

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Autores principales: Kılıç, Burcu, Saglam, Omer Faruk, Guler, Gokberk, Ersen, Ezel, Kara, Hasan Volkan, Demirkaya, Ahmet, Turna, Akif, Kaynak, Kamil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10481444/
https://www.ncbi.nlm.nih.gov/pubmed/37680725
http://dx.doi.org/10.5114/wiitm.2022.123797
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author Kılıç, Burcu
Saglam, Omer Faruk
Guler, Gokberk
Ersen, Ezel
Kara, Hasan Volkan
Demirkaya, Ahmet
Turna, Akif
Kaynak, Kamil
author_facet Kılıç, Burcu
Saglam, Omer Faruk
Guler, Gokberk
Ersen, Ezel
Kara, Hasan Volkan
Demirkaya, Ahmet
Turna, Akif
Kaynak, Kamil
author_sort Kılıç, Burcu
collection PubMed
description INTRODUCTION: The most common chest wall deformities are pectus excavatum and pectus carinatum. Surgical repair of these deformities via minimally invasive technique using pectus bars is commonly preferred by numerous thoracic surgeons. Despite this common choice for treatment, the duration of the bar stay, the bar removal process, the possible complications and ways to prevent them have been debated over the years and still there is no single decision. AIM: To determine the decision making, surgical outcomes and negative factors in the bar removal process. MATERIAL AND METHODS: There were 1032 patients underwent bar removal between 2006–2020 and their data was recorded prospectively. We analyzed patients’ demographics, family history, Haller index, bar count, body mass index, stabilizer and wire usage, length of hospital stay, time until bar removal, incision side and complications retrospectively. RESULTS: There was no significant correlation between BMI and surgery time (p = 0.748). There was no statistically significant correlation between the age groups and the number of pectus bars removed. The other factors showed no significant difference. The surgery time was found to be significantly longer in those with callus tissue (p = 0.002). CONCLUSIONS: These findings suggest that pectus bars can be left in place for a shorter time than the standard 3-year interval without any additional recurrence risk and without compromising quality of life. As a result, patients with persistent pain after pectus repair should be well evaluated for the possibility of life-threatening complications during bar removal.
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spelling pubmed-104814442023-09-07 Post bar removal results of pectus deformity patients who underwent minimally invasive correction Kılıç, Burcu Saglam, Omer Faruk Guler, Gokberk Ersen, Ezel Kara, Hasan Volkan Demirkaya, Ahmet Turna, Akif Kaynak, Kamil Wideochir Inne Tech Maloinwazyjne Original Paper INTRODUCTION: The most common chest wall deformities are pectus excavatum and pectus carinatum. Surgical repair of these deformities via minimally invasive technique using pectus bars is commonly preferred by numerous thoracic surgeons. Despite this common choice for treatment, the duration of the bar stay, the bar removal process, the possible complications and ways to prevent them have been debated over the years and still there is no single decision. AIM: To determine the decision making, surgical outcomes and negative factors in the bar removal process. MATERIAL AND METHODS: There were 1032 patients underwent bar removal between 2006–2020 and their data was recorded prospectively. We analyzed patients’ demographics, family history, Haller index, bar count, body mass index, stabilizer and wire usage, length of hospital stay, time until bar removal, incision side and complications retrospectively. RESULTS: There was no significant correlation between BMI and surgery time (p = 0.748). There was no statistically significant correlation between the age groups and the number of pectus bars removed. The other factors showed no significant difference. The surgery time was found to be significantly longer in those with callus tissue (p = 0.002). CONCLUSIONS: These findings suggest that pectus bars can be left in place for a shorter time than the standard 3-year interval without any additional recurrence risk and without compromising quality of life. As a result, patients with persistent pain after pectus repair should be well evaluated for the possibility of life-threatening complications during bar removal. Termedia Publishing House 2023-01-02 2023-06 /pmc/articles/PMC10481444/ /pubmed/37680725 http://dx.doi.org/10.5114/wiitm.2022.123797 Text en Copyright © 2023 Sekcja Wideochirurgii TChP https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/ (https://creativecommons.org/licenses/by-nc-sa/4.0/) )
spellingShingle Original Paper
Kılıç, Burcu
Saglam, Omer Faruk
Guler, Gokberk
Ersen, Ezel
Kara, Hasan Volkan
Demirkaya, Ahmet
Turna, Akif
Kaynak, Kamil
Post bar removal results of pectus deformity patients who underwent minimally invasive correction
title Post bar removal results of pectus deformity patients who underwent minimally invasive correction
title_full Post bar removal results of pectus deformity patients who underwent minimally invasive correction
title_fullStr Post bar removal results of pectus deformity patients who underwent minimally invasive correction
title_full_unstemmed Post bar removal results of pectus deformity patients who underwent minimally invasive correction
title_short Post bar removal results of pectus deformity patients who underwent minimally invasive correction
title_sort post bar removal results of pectus deformity patients who underwent minimally invasive correction
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10481444/
https://www.ncbi.nlm.nih.gov/pubmed/37680725
http://dx.doi.org/10.5114/wiitm.2022.123797
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