ReviewCureus2023
Complications and Outcomes of the Nuss Procedure in Adult Patients: A Systematic Review.
Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Article
- Exploring the Use of Instant Messaging Groups in the Postoperative Period for Pectus Excavatum Patients.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Clinical outcomes of sub-millisievert CT evaluation of congenital chest wall deformity using photon counting CT: a new standard of care?Research square · 2026Article
- Can bilateral chest drainage prevent buffalo chest after minimally invasive repair of pectus excavatum (MIRPE)?Journal of thoracic disease · 2026Article
- Extension of the minimally invasive pectus repair to adult patients: strategies for success.Journal of thoracic disease · 2026Review
- Analysis of risk factors for postoperative infections following the Nuss procedure for pectus excavatum.General thoracic and cardiovascular surgery · 2026Article
- A scoping review of the effectiveness, appropriateness and economic efficiency of the vacuum bell for pectus excavatum within the Swiss healthcare system.Journal of thoracic disease · 2025Review
- Buffalo chest after minimally invasive repair of pectus excavatum for pectus excavatum: results of the Chest Wall International Group (CWIG) survey.Journal of thoracic disease · 2025Article
- Surgical Treatment of Pectus Excavatum: The Boundary Between Pathologic and Aesthetic Need.Journal of clinical medicine · 2025Article
- Risk factor identification and prediction of pleural effusion following coronary artery bypass grafting.American journal of translational research · 2025Article
- Complication Rate of the Nuss Procedure in Adults and Pediatric Patients: National Database Analysis.Annals of thoracic surgery short reports · 2024Article
- The usefulness of the open surgical technique of sternocostal elevation for asymmetric pectus excavatum: a retrospective study.Journal of thoracic disease · 2024Article
- Post-operative arrest following pectus excavatum repair: A case report with a systematic review of the published case reports.Clinical case reports · 2024Article
- Quality of life with minimally invasive repair of pectus excavatum: a systematic review and meta-analysis.Annals of translational medicine · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pectus excavatum is a congenital chest wall deformity, commonly identified in early childhood, creating a "sunken chest" appearance. Over time, the deformity can worsen, thus impacting cardiopulmonary function and creating significant body image disturbance in patients. The Nuss procedure is a minimally invasive technique in which a curved steel bar is introduced underneath the sternum through small bilateral thoracic incisions to correct the deformity. Most studies regarding the procedure to date focus on outcomes and complications in pediatric patients, however, few studies discuss these results in adult patients. This systematic review aims to analyze common complications and outcomes in patients over the age of 18 who have not undergone any prior intervention for pectus excavatum. The most common complications experienced in adult patients were displacement of the implanted steel bar, infection of the surgical site, pneumothorax, pleural effusion, and chronic postoperative pain. Reoperation was common in patients with a displacement of the bar, chronic pain, and bleeding. Additionally, adult patients routinely required a higher number of steel bars to be placed to correct the deformity. Despite evidence that the rate of complications increases with age, the majority of adult patients in our included studies were satisfied with the outcome of the procedure with indications of improved self-image and reduced preoperative symptoms such as dyspnea on exertion, palpitations, chest pain, and depression.
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