Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2007 Jul;31(7):1518-22.
doi: 10.1007/s00268-007-9081-8. Epub 2007 May 30.

Lung function after the minimal invasive pectus excavatum repair (Nuss procedure)

Daniel C Aronson  1 , Remko P Bosgraaf, Eva-Maria Merz, Reindert P van Steenwijk, Wim M C van Aalderen, Robertine van Baren
Affiliations

Lung function after the minimal invasive pectus excavatum repair (Nuss procedure)

Daniel C Aronson et al. World J Surg. 2007 Jul.

Abstract

Background: The Nuss procedure was introduced at our center in 1999. The operation was mainly performed for cosmesis. Little information is available regarding the influence of this operation on lung function.

Methods: The aim of this study, a prospective analysis, was to analyze the effect of the Nuss procedure on lung function variables. Between 1999 and 2007 a total of 203 patients with pectus excavatum were treated with the Nuss procedure, of whom 145 (104 male, 41 female) were located at Emma Children's Hospital. In the latter subset of consecutive patients, static lung function variables [total lung capacity (TLC), functional residual capacity (FRC), vital capacity (VC)] and dynamic lung function variables [forced expired volume in 1 s (FEV(1)), maximum expiratory flow (MEF(50))] were performed using spirometry and body box measurements at four time points: prior to operation (T0), 6 months after the Nuss procedure (T1, n = 111), prior to removal of the Nuss bar (T2, n = 74), and 6 months after removal (T3, n = 53). All values were expressed as a percent of normal values for sex, age, and height. Results were compared with a paired-samples t-test, with the level of significance at p = 0.05.

Results: At 6 months after bar insertion the TLC, FRC, VC, FEV(1), and MEF(50) showed a significant increase; and prior to bar removal the FRC and MEF(50) showed significantly increased values. At 6 months after Nuss bar removal, none of the lung function variables showed any significant change compared to the preoperative values.

Conclusion: After the Nuss procedure for pectus excavatum, there was no improvement of pulmonary function, but neither was the patient's pulmonary function harmed by resolving a largely cosmetic problem.

PubMed Disclaimer

References

    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1097/00000658-194904000-00002', 'is_inner': False, 'url': 'https://doi.org/10.1097/00000658-194904000-00002'}, {'type': 'PMC', 'value': 'PMC1514034', 'is_inner': False, 'url': 'https://pmc.ncbi.nlm.nih.gov/articles/PMC1514034/'}, {'type': 'PubMed', 'value': '17859324', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/17859324/'}]}
    2. Ravitch MM (1949) The operative repair of pectus excavatum. Ann Surg 129:429–444 - PMC - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '7125344', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/7125344/'}]}
    2. Castile R, Staats BA, Westbrook PR (1982) Symptomatic pectus deformities of the chest. Am Rev Respir Dis 126:564–568 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '2924614', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/2924614/'}]}
    2. Derveaux L, Clarysse I, Ivanoff I, et al. (1989) Preoperative and postoperative abnormalities in chest x-ray indices and in lung function in pectus deformities. Chest 95:850–856 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '8205855', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/8205855/'}]}
    2. Morshuis W, Folgering H, Barentsz J, et al. (1994) Pulmonary function before surgery for pectus excavatum and at long-term follow-up. Chest 105:1646–1652 - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0022-3476(96)80128-4', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0022-3476(96)80128-4'}, {'type': 'PubMed', 'value': '8627435', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/8627435/'}]}
    2. Quigley PM, Haller JA Jr, Jelus KL, et al. (1996) Cardiorespiratory function before and after corrective surgery in pectus excavatum. J Pediatr 128:638–643 - PubMed

LinkOut - more resources