Review of the Nuss Procedure for Pectus Excavatum in Children
Author Information
Author(s): Protopapas Aristotle D, Athanasiou Thanos
Primary Institution: Department of Biosurgery & Surgical Technology, Imperial College London
Hypothesis
To assess the cumulative data on the Nuss operation in children on its twenty years' anniversary.
Conclusion
The Nuss procedure is a safe minimal access option for correcting pectus excavatum in children.
Supporting Evidence
- No mortality was observed in the study.
- The procedure had a morbidity rate of 15.4%.
- Common complications included bar-related events (5.7%) and pneumothorax (3.5%).
- The average procedure time was 68 minutes.
- The average hospital stay was 5.5 days.
Takeaway
The Nuss procedure helps fix a chest deformity in kids without major surgery, and it's been safe for 20 years.
Methodology
Literature review and data merging from 19 reports.
Potential Biases
Data may not be based on high-quality comparative studies.
Limitations
Not all series included complete data for all variables, and long-term results were not discussed.
Participant Demographics
Mean age was 10.6 years, with a male to female ratio of 77:23.
Digital Object Identifier (DOI)
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