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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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| Published in: | European journal of cardio-thoracic surgery 2011-06, Vol.39 (6), p.1040-1042 |
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| container_title | European journal of cardio-thoracic surgery |
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| creator | Nyboe, Camilla Knudsen, Mette R. Pilegaard, Hans K. |
| description | 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 |
| doi_str_mv | 10.1016/j.ejcts.2010.10.002 |
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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 < 0.0001), numbers of bars to be removed (p < 0.0002), the need for bilateral incision (p < 0.0001) and the charge of the surgeon performing the operation (p < 0.0008). Eight patients (2.4%) had complications after the surgery. Five patients had pneumothorax, of which three were treated with chest tubes, and two controlled with chest X-ray. Three patients had hemothorax. Two were treated with a chest tube and the third required open surgery. Most of the patients were discharged on the day of surgery (94%) or the day after surgery (4%). Only six (2%) required more than a single day of hospitalization. Conclusions: Bar removal following the Nuss procedure is a quick and safe operation with very few complications. Occurrence of complications is not dependent on the experience of the surgeon.</description><identifier>ISSN: 1010-7940</identifier><identifier>EISSN: 1873-734X</identifier><identifier>DOI: 10.1016/j.ejcts.2010.10.002</identifier><identifier>PMID: 21075643</identifier><identifier>CODEN: EJCSE7</identifier><language>eng</language><publisher>Oxford: Elsevier Science B.V</publisher><subject>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</subject><ispartof>European journal of cardio-thoracic surgery, 2011-06, Vol.39 (6), p.1040-1042</ispartof><rights>2010 European Association for Cardio-Thoracic Surgery 2011</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2010 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-84cea643a7c840a41da0fb81b91d11d59ddf4880c6431c44b0c6f4475e14c4a43</citedby><cites>FETCH-LOGICAL-c439t-84cea643a7c840a41da0fb81b91d11d59ddf4880c6431c44b0c6f4475e14c4a43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24200564$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21075643$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nyboe, Camilla</creatorcontrib><creatorcontrib>Knudsen, Mette R.</creatorcontrib><creatorcontrib>Pilegaard, Hans K.</creatorcontrib><title>Elective pectus bar removal following Nuss procedure for pectus excavatum: a single-institution experience</title><title>European journal of cardio-thoracic surgery</title><addtitle>Eur J Cardiothorac Surg</addtitle><addtitle>Eur J Cardiothorac Surg</addtitle><description>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 < 0.0001), numbers of bars to be removed (p < 0.0002), the need for bilateral incision (p < 0.0001) and the charge of the surgeon performing the operation (p < 0.0008). Eight patients (2.4%) had complications after the surgery. Five patients had pneumothorax, of which three were treated with chest tubes, and two controlled with chest X-ray. Three patients had hemothorax. Two were treated with a chest tube and the third required open surgery. Most of the patients were discharged on the day of surgery (94%) or the day after surgery (4%). Only six (2%) required more than a single day of hospitalization. Conclusions: Bar removal following the Nuss procedure is a quick and safe operation with very few complications. Occurrence of complications is not dependent on the experience of the surgeon.</description><subject>Biological and medical sciences</subject><subject>Bony Callus - pathology</subject><subject>Cardiology. Vascular system</subject><subject>Device Removal - adverse effects</subject><subject>Device Removal - methods</subject><subject>Female</subject><subject>Funnel Chest - surgery</subject><subject>Humans</subject><subject>Intraoperative Period</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Minimally Invasive Surgical Procedures - adverse effects</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Pneumology</subject><subject>Prostheses and Implants</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>Young Adult</subject><issn>1010-7940</issn><issn>1873-734X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNqNkEtLxDAUhYMozjj6CwTpRly1Ju3ty50M4wMG3Si4K2l6Kynpw6QZ9d-beenW1T3c890Hh5BzRgNGWXLdBNiI0QQh3XQCSsMDMmVZGvlpBG-HTjvHT3OgE3JiTEMpTaIwPSaTkNE0TiCakmahUIxyhd7gqjVeybWnse1XXHl1r1T_Kbt378ka4w26F1hZjc7Qex6_BF_x0bY3HveMYxX6sjOjHO0o-875A2qJncBTclRzZfBsV2fk9W7xMn_wl8_3j_PbpS8gykc_A4Hc_cZTkQHlwCpO6zJjZc4qxqo4r6oasowKxzABUDpVA6QxMhDAIZqRq-1e9--HRTMWrTQCleId9tYUWRInWQ5x6shoSwrdG6OxLgYtW66_C0aLdcZFU2wyLtYZr5suYzd1sdtvyxar35l9qA643AHcCK5qzTshzR8HIaVrcEaCLdfb4V-XfwD6d5cX</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Nyboe, Camilla</creator><creator>Knudsen, Mette R.</creator><creator>Pilegaard, Hans K.</creator><general>Elsevier Science B.V</general><general>Oxford University Press</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20110601</creationdate><title>Elective pectus bar removal following Nuss procedure for pectus excavatum: a single-institution experience</title><author>Nyboe, Camilla ; Knudsen, Mette R. ; Pilegaard, Hans K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-84cea643a7c840a41da0fb81b91d11d59ddf4880c6431c44b0c6f4475e14c4a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Biological and medical sciences</topic><topic>Bony Callus - pathology</topic><topic>Cardiology. Vascular system</topic><topic>Device Removal - adverse effects</topic><topic>Device Removal - methods</topic><topic>Female</topic><topic>Funnel Chest - surgery</topic><topic>Humans</topic><topic>Intraoperative Period</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Minimally Invasive Surgical Procedures - adverse effects</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Pneumology</topic><topic>Prostheses and Implants</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nyboe, Camilla</creatorcontrib><creatorcontrib>Knudsen, Mette R.</creatorcontrib><creatorcontrib>Pilegaard, Hans K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cardio-thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nyboe, Camilla</au><au>Knudsen, Mette R.</au><au>Pilegaard, Hans K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elective pectus bar removal following Nuss procedure for pectus excavatum: a single-institution experience</atitle><jtitle>European journal of cardio-thoracic surgery</jtitle><stitle>Eur J Cardiothorac Surg</stitle><addtitle>Eur J Cardiothorac Surg</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>39</volume><issue>6</issue><spage>1040</spage><epage>1042</epage><pages>1040-1042</pages><issn>1010-7940</issn><eissn>1873-734X</eissn><coden>EJCSE7</coden><abstract>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 < 0.0001), numbers of bars to be removed (p < 0.0002), the need for bilateral incision (p < 0.0001) and the charge of the surgeon performing the operation (p < 0.0008). Eight patients (2.4%) had complications after the surgery. Five patients had pneumothorax, of which three were treated with chest tubes, and two controlled with chest X-ray. Three patients had hemothorax. Two were treated with a chest tube and the third required open surgery. Most of the patients were discharged on the day of surgery (94%) or the day after surgery (4%). Only six (2%) required more than a single day of hospitalization. Conclusions: Bar removal following the Nuss procedure is a quick and safe operation with very few complications. Occurrence of complications is not dependent on the experience of the surgeon.</abstract><cop>Oxford</cop><pub>Elsevier Science B.V</pub><pmid>21075643</pmid><doi>10.1016/j.ejcts.2010.10.002</doi><tpages>3</tpages></addata></record> |
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| 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 |
| title | Elective pectus bar removal following Nuss procedure for pectus excavatum: a single-institution experience |
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