ArticleFrontiers in surgery2021
A Modfied Nuss Procedure for Recurrent Pectus Excavatum of Adults.
Article in Frontiers in surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 2 citations in OpenAlex.
- Comparison of surgical approaches for pectus excavatum in children and adolescents: a single-center retrospective study.Frontiers in surgery · 2026Article
- Prediction of postoperative final degree and recurrence of pectus excavatum using machine learning algorithms.Journal of thoracic disease · 2024Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLimited data exist for adults with recurrent pectus excavatum (PE) treated with minimally invasive surgical repair.
methodsBetween July 2008 and December 2020, forty-two adult patients with recurrent PE underwent a modified Nuss procedure with a newly designed bar in our center. A small vertical subxiphoid incision was used to separate severe adhesions when necessary. Multiple steel wires were sutured, and the rib space was narrowed to firmly fix the bar. The primary end point was Haller index change after operation. The secondary end points included length of stay after operation, short-term and long-term complications.
resultsThe mean patient age was 22.02 ± 3.49 years. The mean Haller index was 4.59 ± 1.09. A subxiphoid incision was performed in 12 patients. Thirty-nine patients had one bar placed, and 3 patients required two bars. Sixteen patients had 3 or more wires fixation, and 4 patients needed to have their intercostal space narrowed. There was no perioperative death, and the mean hospitalization was 5.57 ± 2.47 days. The Haller index reduced to 3.03 ± 0.41 after the operation (t = 11.85,
conclusionsThe modified Nuss procedure with a new titanium alloy bar can achieve good results for adult patients with recurrent PE.
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