Elective pectus bar removal following Nuss procedure for pectus excavatum: a single-institution experience

Abstract Objective: Very few data are available on complications following elective bar removal after the Nuss procedure for pectus excavatum. The objective of this study was to investigate the data from 343 consecutive patients. Methods: From 2003 to 2009, 343 patients (85% males) had their pectus...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2011-06, Vol.39 (6), p.1040-1042
Main Authors: Nyboe, Camilla, Knudsen, Mette R., Pilegaard, Hans K.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Bony Callus - pathology
Cardiology. Vascular system
Device Removal - adverse effects
Device Removal - methods
Female
Funnel Chest - surgery
Humans
Intraoperative Period
Male
Medical sciences
Minimally Invasive Surgical Procedures - adverse effects
Minimally Invasive Surgical Procedures - methods
Pneumology
Prostheses and Implants
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Young Adult
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Summary:Abstract Objective: Very few data are available on complications following elective bar removal after the Nuss procedure for pectus excavatum. The objective of this study was to investigate the data from 343 consecutive patients. Methods: From 2003 to 2009, 343 patients (85% males) had their pectus bar removed. Nine patients were excluded because of bar removal within the first year after implantation. Data were recorded from hospital records regarding: operation time, formation of callus around the bar, unilateral or bilateral incision, complications, postoperative hospital stay and if a senior resident or an intern performed the operation. Results: The median age at the time of bar removal was 19.1 years. The median time for removal after insertion of the bar was 1139 days (range 641-2575 days). The median operation time was 34 min (range 5-183 min). The operation time depended on the formation of callus around the bar (p 
ISSN:1010-7940
1873-734X
DOI:10.1016/j.ejcts.2010.10.002