Post bar removal results of pectus deformity patients who underwent minimally invasive correction.
chest wall deformity
complication
minimally invasive
pectus bar removal
Journal
Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques
ISSN: 1895-4588
Titre abrégé: Wideochir Inne Tech Maloinwazyjne
Pays: Poland
ID NLM: 101283175
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
received:
14
10
2022
accepted:
05
12
2022
medline:
8
9
2023
pubmed:
8
9
2023
entrez:
8
9
2023
Statut:
ppublish
Résumé
The most common chest wall deformities are pectus excavatum and pectus carinatum. Surgical repair of these deformities via minimally invasive technique using pectus bars is commonly preferred by numerous thoracic surgeons. Despite this common choice for treatment, the duration of the bar stay, the bar removal process, the possible complications and ways to prevent them have been debated over the years and still there is no single decision. To determine the decision making, surgical outcomes and negative factors in the bar removal process. There were 1032 patients underwent bar removal between 2006-2020 and their data was recorded prospectively. We analyzed patients' demographics, family history, Haller index, bar count, body mass index, stabilizer and wire usage, length of hospital stay, time until bar removal, incision side and complications retrospectively. There was no significant correlation between BMI and surgery time (p = 0.748). There was no statistically significant correlation between the age groups and the number of pectus bars removed. The other factors showed no significant difference. The surgery time was found to be significantly longer in those with callus tissue (p = 0.002). These findings suggest that pectus bars can be left in place for a shorter time than the standard 3-year interval without any additional recurrence risk and without compromising quality of life. As a result, patients with persistent pain after pectus repair should be well evaluated for the possibility of life-threatening complications during bar removal.
Identifiants
pubmed: 37680725
doi: 10.5114/wiitm.2022.123797
pii: 49783
pmc: PMC10481444
doi:
Types de publication
Journal Article
Langues
eng
Pagination
364-371Informations de copyright
Copyright © 2023 Sekcja Wideochirurgii TChP.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
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