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. 2018 Sep 16;26(4):621-625.
doi: 10.5606/tgkdc.dergisi.2018.15707. eCollection 2018 Oct.

Factors determining the complications in Nuss procedure

Özgür Katrancıoğlu  1 , Yücel Akkaş  2 , Tuba Şahinoğlu  3 , Ekber Şahin  1 , Şule Karadayı  1 , Nurkay Katrancıoğlu  4
Affiliations

Factors determining the complications in Nuss procedure

Özgür Katrancıoğlu et al. Turk Gogus Kalp Damar Cerrahisi Derg. .

Abstract

Background: This study aims to share our experiences in complications developing in patients who underwent Nuss procedure and the management of these complications.

Methods: In the study, files of 59 patients (50 males, 9 females; mean age 17.6±5.1 years; range, 2.5 to 33 years) who were applied Nuss procedure for pectus excavatum in our clinic between July 2007 and May 2016 were retrospectively assessed. Patients" age, gender, surgical method-complications and hospitalization durations were recorded. Fisher"s chisquare test and logistic regression analysis were used for data evaluation.

Results: Nuss procedure was performed in all patients without severe complications such as death, organ injury or massive hemorrhage. The most frequently observed postoperative earlyperiod complication was minimal pneumothorax (n=16, 27.1%), while bar dislocation was most frequently observed in the lateperiod (n=5, 8.3%).

Conclusion: Being male and/or over 23 years of age were determined as risk factors for complication development after Nuss procedure. Still, being a minimally invasive and manageable approach with its success in correcting the deformity, short operation duration, and low complication rates, Nuss procedure can be safely performed in selected patients.

Keywords: Complications; Nuss procedure; minimally invasive surgery; pectus excavatum.

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Conflict of interest statement

Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Figures

Figure 1
Figure 1. Pneumothorax is shown in chest X-ray on postoperative first day.
Figure 2
Figure 2. Bar dislocation is shown in chest X-ray in late period.
See this image and copyright information in PMC

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