Risk factors of infection of implanted device after the Nuss procedure

Purpose The Nuss procedure is a minimally invasive procedure for the correction of pectus excavatum. It involves insertion of a substernal metal bar. A feared complication of any implantation procedure is infection, which often requires removal of the implanted device. This report describes the auth...

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Bibliographic Details
Published in:Pediatric surgery international 2012-09, Vol.28 (9), p.873-876
Main Authors: Tanaka, Keiichiro, Kuwashima, Naruo, Ashizuka, Shu-ichi, Yoshizawa, Jyoji, Ohki, Takao
Format: Article
Language:English
Subjects:
Adolescent
Child
Female
Follow-Up Studies
Funnel Chest - surgery
Humans
Incidence
Japan - epidemiology
Male
Medicine
Medicine & Public Health
Original Article
Pediatric Surgery
Pediatrics
Prosthesis Failure
Prosthesis-Related Infections - epidemiology
Retrospective Studies
Risk Assessment - methods
Risk Factors
Surgery
Thoracoplasty - adverse effects
Thoracoplasty - methods
Thoracoscopy
Young Adult
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Summary:Purpose The Nuss procedure is a minimally invasive procedure for the correction of pectus excavatum. It involves insertion of a substernal metal bar. A feared complication of any implantation procedure is infection, which often requires removal of the implanted device. This report describes the authors’ experience with infectious complications after the Nuss procedure. Methods The study included 195 patients diagnosed with pectus excavatum. We performed the Nuss procedure under thoracoscopic control on all the patients. Factors analyzed for all patients included bar infection, sex, age, number of bars, and season of the year during which the operation was performed. Results Of the 195 study patients, there were 11 patients who suffered postoperative infectious complications, including 7 patients with cellulitis and 4 patients with bar infections. We removed the infected bars from three of the patients with bar infections. Ten of the patients with infected bar had undergone their operations in the summer. Sex, age and number of bars did not differ significantly between patients with or without infections. However, a significantly higher number of infections occurred among patients who underwent the Nuss procedure in the summer compared with the other seasons of the year ( P  
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-012-3145-z