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2009, Number 1

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Rev Mex Cir Pediatr 2009; 16 (1)

Nuss Procedure actual outcome For Pectus Excavatum in México

Mora-Fol JR, López FSY, Santiago-Romo JE, Quintero-Curiel JL, Pérez-Lorenzana H, Puga-Ayala V

Language: Spanish
References: 23
Page: 12-19
PDF size: 760.77 Kb.


ABSTRACT

Introduction: Surgery is performed in partfientes when Haller index is higher than 3.26. Nuss procedure has proven advantages diminishing trauma, pain, sooner recovery, and reducing cost.
Material and Methods: 5 year follow up in pectus excavatum patient´s, registering age, sex, indication of surgery, Number of Barrs aplied, surgical time, lenght of hospital stay, respiratory tests, complications and actual outcome, complications with dispertion and central tendency measures, using Mann Whitney U test.
Results: 32 patients, 14 females, 18 males, average age of 11.1 years, Haller CT index average age of 5.12 , At 94% one nuss barr was placed, 6% 2 barr because of the severity of the pectus. Surgery average time was 67.4 minutes, Average length of stay was 8.9 days. Vital capacity and forced expiratory volumen increased, finding significative improving in all patient with P ‹ 05. There were 5 transoperative complications: pericardium laceration, emphisema, and hepatic laceration whith barr rotation, athelectasy and sinus tachicardia. There were no need for ICU and all ended surgery without mechanic ventilation.
Discusssion: Nuss technique doesnt need for long surgical incitions, cartilage resection, sternal remodelation and cosmetic results are excellent, with less surgical time and lesser lengh of stay. Feasible cosmetic and respiratory inmediatly improvement method with a low complication index, it can be aplied from 5 years old. There are 4 barr withdrawal patient after 2 years in place with good outcome without afection on respiratory test. We suggest as first´n best option Nuss procedure technique.


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