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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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| Published in: | Pediatric surgery international 2012-09, Vol.28 (9), p.873-876 |
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| container_title | Pediatric surgery international |
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| creator | Tanaka, Keiichiro Kuwashima, Naruo Ashizuka, Shu-ichi Yoshizawa, Jyoji Ohki, Takao |
| description | 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
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| doi_str_mv | 10.1007/s00383-012-3145-z |
| format | article |
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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
< 0.05, Kruskal–Wallis Test).
Conclusion
All patients with cellulitis successfully recovered with conservative treatment. However, 75 % of the patients with bar infections required removal of the infected device. Our study results showed that performance of the Nuss procedure during summer is a risk factor for postoperative infection. We recommend that particularly careful technique must be used during summer to prevent postoperative infections following the Nuss procedure.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-012-3145-z</identifier><identifier>PMID: 22864590</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>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</subject><ispartof>Pediatric surgery international, 2012-09, Vol.28 (9), p.873-876</ispartof><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-e658a29134f2b3d8822337e325e9135351a98d119f2ae3abad2a9f298ac25d963</citedby><cites>FETCH-LOGICAL-c372t-e658a29134f2b3d8822337e325e9135351a98d119f2ae3abad2a9f298ac25d963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22864590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tanaka, Keiichiro</creatorcontrib><creatorcontrib>Kuwashima, Naruo</creatorcontrib><creatorcontrib>Ashizuka, Shu-ichi</creatorcontrib><creatorcontrib>Yoshizawa, Jyoji</creatorcontrib><creatorcontrib>Ohki, Takao</creatorcontrib><title>Risk factors of infection of implanted device after the Nuss procedure</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>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
< 0.05, Kruskal–Wallis Test).
Conclusion
All patients with cellulitis successfully recovered with conservative treatment. However, 75 % of the patients with bar infections required removal of the infected device. Our study results showed that performance of the Nuss procedure during summer is a risk factor for postoperative infection. We recommend that particularly careful technique must be used during summer to prevent postoperative infections following the Nuss procedure.</description><subject>Adolescent</subject><subject>Child</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Funnel Chest - surgery</subject><subject>Humans</subject><subject>Incidence</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Prosthesis Failure</subject><subject>Prosthesis-Related Infections - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Assessment - methods</subject><subject>Risk Factors</subject><subject>Surgery</subject><subject>Thoracoplasty - adverse effects</subject><subject>Thoracoplasty - methods</subject><subject>Thoracoscopy</subject><subject>Young Adult</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNp1kMtKAzEUhoMotlYfwI0MuHETzWUykyylWBWKgug6pMmJTm1najIj2Kc3daqI4Cq37_zn5EPomJJzSkh5EQnhkmNCGeY0F3i9g4Y05yVWkvJdNCS0VJhwIQfoIMY5IUTyQu2jAWOyyIUiQzR5qOJr5o1tmxCzxmdV7cG2VVN_HZarhalbcJmD98pCZnwLIWtfILvrYsxWobHgugCHaM-bRYSj7TpCT5Orx_ENnt5f344vp9jykrUYCiENU5Tnns24k5IxzkvgTEC6FFxQo6SjVHlmgJuZccykvZLGMuFUwUforM9Nnd86iK1eVtHCIk0JTRc1TUIYK9PXEnr6B503XajTdJoyKWVOpBSJoj1lQxNjAK9XoVqa8JGi9Eay7iXrJFlvJOt1qjnZJnezJbifim-rCWA9ENNT_QzhV-t_Uz8BA-eF9Q</recordid><startdate>20120901</startdate><enddate>20120901</enddate><creator>Tanaka, Keiichiro</creator><creator>Kuwashima, Naruo</creator><creator>Ashizuka, Shu-ichi</creator><creator>Yoshizawa, Jyoji</creator><creator>Ohki, Takao</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20120901</creationdate><title>Risk factors of infection of implanted device after the Nuss procedure</title><author>Tanaka, Keiichiro ; Kuwashima, Naruo ; Ashizuka, Shu-ichi ; Yoshizawa, Jyoji ; Ohki, Takao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-e658a29134f2b3d8822337e325e9135351a98d119f2ae3abad2a9f298ac25d963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Funnel Chest - surgery</topic><topic>Humans</topic><topic>Incidence</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Prosthesis Failure</topic><topic>Prosthesis-Related Infections - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Assessment - methods</topic><topic>Risk Factors</topic><topic>Surgery</topic><topic>Thoracoplasty - adverse effects</topic><topic>Thoracoplasty - methods</topic><topic>Thoracoscopy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanaka, Keiichiro</creatorcontrib><creatorcontrib>Kuwashima, Naruo</creatorcontrib><creatorcontrib>Ashizuka, Shu-ichi</creatorcontrib><creatorcontrib>Yoshizawa, Jyoji</creatorcontrib><creatorcontrib>Ohki, Takao</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Family Health</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanaka, Keiichiro</au><au>Kuwashima, Naruo</au><au>Ashizuka, Shu-ichi</au><au>Yoshizawa, Jyoji</au><au>Ohki, Takao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors of infection of implanted device after the Nuss procedure</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2012-09-01</date><risdate>2012</risdate><volume>28</volume><issue>9</issue><spage>873</spage><epage>876</epage><pages>873-876</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>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
< 0.05, Kruskal–Wallis Test).
Conclusion
All patients with cellulitis successfully recovered with conservative treatment. However, 75 % of the patients with bar infections required removal of the infected device. Our study results showed that performance of the Nuss procedure during summer is a risk factor for postoperative infection. We recommend that particularly careful technique must be used during summer to prevent postoperative infections following the Nuss procedure.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22864590</pmid><doi>10.1007/s00383-012-3145-z</doi><tpages>4</tpages></addata></record> |
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| source | Springer Nature |
| 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 |
| title | Risk factors of infection of implanted device after the Nuss procedure |
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