Cargando…

Patient Satisfaction Following Minimally Invasive Repair of Pectus Excavatum: Single Surgeon Experience

BACKGROUND: Pectus excavatum (PE) is the most common chest wall deformity in adolescent life. Nuss procedure is a well-established technique for the repair of PE. The indication for correction is mainly medical aesthetic. Advantages of Nuss over conventional methods include reduced length of hospita...

Descripción completa

Detalles Bibliográficos
Autores principales: Barua, Anupama, Rao, Vinay P., Barua, Biplab, Majewski, Andrzej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3673366/
https://www.ncbi.nlm.nih.gov/pubmed/23741581
http://dx.doi.org/10.4103/2006-8808.110253
_version_ 1782272240791846912
author Barua, Anupama
Rao, Vinay P.
Barua, Biplab
Majewski, Andrzej
author_facet Barua, Anupama
Rao, Vinay P.
Barua, Biplab
Majewski, Andrzej
author_sort Barua, Anupama
collection PubMed
description BACKGROUND: Pectus excavatum (PE) is the most common chest wall deformity in adolescent life. Nuss procedure is a well-established technique for the repair of PE. The indication for correction is mainly medical aesthetic. Advantages of Nuss over conventional methods include reduced length of hospital stay, smaller incisions, and absence of need for osteochondrectomies. Here, we describe our experience with this procedure. MATERIALS AND METHODS: This was a retrospective study of patients who underwent Nuss procedure by a single surgeon between 2006 and 2010 in a regional center. Indications for surgery included the following: Progressive deformity and psychological stress. All patients underwent chest X-ray and pulmonary function testing. A standard Nuss procedure was performed using a single bar. Patients’ satisfaction was assessed by a questionnaire and follow-up clinic letters. Satisfaction with body image was scored on a scale of 1-10. RESULTS: Eleven patients with PE underwent correction by Nuss procedure. Mean age of the patient was 19 years (range: 15-30). The average hospital stay was 7 days (range: 4-23 days). There was no mortality and no episodes of wound infection. In the immediate post-operative period, three patients (12.5%) were noted to have poor pain control. The post-operative course was uneventful in all cases except one patient who developed lung collapse, pleural effusion, and bar dislocation. Hundred percent of patients were satisfied with the scar. Seven patients scored 7 out of 10 on satisfaction with body image and two patients scored 6 or less. None of the patients complained of chronic pain. CONCLUSION: Nuss procedure is an effective method for the correction of PE. Most patients were satisfied with the outcome and none experienced chronic pain.
format Online
Article
Text
id pubmed-3673366
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-36733662013-06-05 Patient Satisfaction Following Minimally Invasive Repair of Pectus Excavatum: Single Surgeon Experience Barua, Anupama Rao, Vinay P. Barua, Biplab Majewski, Andrzej J Surg Tech Case Rep Original Article BACKGROUND: Pectus excavatum (PE) is the most common chest wall deformity in adolescent life. Nuss procedure is a well-established technique for the repair of PE. The indication for correction is mainly medical aesthetic. Advantages of Nuss over conventional methods include reduced length of hospital stay, smaller incisions, and absence of need for osteochondrectomies. Here, we describe our experience with this procedure. MATERIALS AND METHODS: This was a retrospective study of patients who underwent Nuss procedure by a single surgeon between 2006 and 2010 in a regional center. Indications for surgery included the following: Progressive deformity and psychological stress. All patients underwent chest X-ray and pulmonary function testing. A standard Nuss procedure was performed using a single bar. Patients’ satisfaction was assessed by a questionnaire and follow-up clinic letters. Satisfaction with body image was scored on a scale of 1-10. RESULTS: Eleven patients with PE underwent correction by Nuss procedure. Mean age of the patient was 19 years (range: 15-30). The average hospital stay was 7 days (range: 4-23 days). There was no mortality and no episodes of wound infection. In the immediate post-operative period, three patients (12.5%) were noted to have poor pain control. The post-operative course was uneventful in all cases except one patient who developed lung collapse, pleural effusion, and bar dislocation. Hundred percent of patients were satisfied with the scar. Seven patients scored 7 out of 10 on satisfaction with body image and two patients scored 6 or less. None of the patients complained of chronic pain. CONCLUSION: Nuss procedure is an effective method for the correction of PE. Most patients were satisfied with the outcome and none experienced chronic pain. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3673366/ /pubmed/23741581 http://dx.doi.org/10.4103/2006-8808.110253 Text en Copyright: © Journal of Surgical Technique and Case Report http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Barua, Anupama
Rao, Vinay P.
Barua, Biplab
Majewski, Andrzej
Patient Satisfaction Following Minimally Invasive Repair of Pectus Excavatum: Single Surgeon Experience
title Patient Satisfaction Following Minimally Invasive Repair of Pectus Excavatum: Single Surgeon Experience
title_full Patient Satisfaction Following Minimally Invasive Repair of Pectus Excavatum: Single Surgeon Experience
title_fullStr Patient Satisfaction Following Minimally Invasive Repair of Pectus Excavatum: Single Surgeon Experience
title_full_unstemmed Patient Satisfaction Following Minimally Invasive Repair of Pectus Excavatum: Single Surgeon Experience
title_short Patient Satisfaction Following Minimally Invasive Repair of Pectus Excavatum: Single Surgeon Experience
title_sort patient satisfaction following minimally invasive repair of pectus excavatum: single surgeon experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3673366/
https://www.ncbi.nlm.nih.gov/pubmed/23741581
http://dx.doi.org/10.4103/2006-8808.110253
work_keys_str_mv AT baruaanupama patientsatisfactionfollowingminimallyinvasiverepairofpectusexcavatumsinglesurgeonexperience
AT raovinayp patientsatisfactionfollowingminimallyinvasiverepairofpectusexcavatumsinglesurgeonexperience
AT baruabiplab patientsatisfactionfollowingminimallyinvasiverepairofpectusexcavatumsinglesurgeonexperience
AT majewskiandrzej patientsatisfactionfollowingminimallyinvasiverepairofpectusexcavatumsinglesurgeonexperience