An Effect of Nuss Procedure on Lung Function Among Patients with Pectus Excavatum

• Authors: Sławomir Szydlik , Justyna Jankowska-Szydlik , Mariusz Kasprzyk , Wojciech Dyszkiewicz , Jarosław Adamczak , Damian Zwaruń
• Languages of publication: EN

Abstracts

EN

The aim of the studywas to evaluate lung function among patients who underwent Nuss Procedure. The analysis included spirometric evaluation of the lung function before Nuss Procedure, during perioperative period and after removing steel bars from behind the sternum. Material and methods.The study group involved patients operated on the pectus excavatum in the Department of Thoracic Surgery in Poznań in years 2002-2004. The study group consisted of 44 patients (5 females and 39 males). Aged between 10 to 32 years old, the mean age was 16. The following spirometric parameters were analysed: vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in 1s (FEV1), FEV1/VC ratio, peak expiratory flow (PEF), forced expiratory flow for 25% (FEF25), 50% (FEF50) and 75% FVC (FEF75). Results.The values of the FVC, FEV1, FEF25, and FEV1/VC ratio in the study group were significantly higher in the postoperative period in comparison with the preoperative period. There was a statistically significant correlation between the improvement in spirometric parameters after Nuss Procedure and the impairment of spirometric values in preoperative period. There were no statistical differences between the value of initial chest deformation and spirometric parameters improvement. There were also no statistically significant correlations between age, height and weight of the patient in the study group and spirometric values improvement. Conclusion.There is a statistical improvement in lung function in patients who underwent Nuss Procedure. The improvement in spirometric parameters correlates with the impairment of spirometric values in the preoperative period.

Keywords

EN

funnel chest; koilosternia; pectus excavatum; Nuss Procedure

• Journal: Polish Journal of Surgery
• Year: 2013
• Volume: 85
• Issue: 1
• Pages: 1-5

Dates

published

1 - 01 - 2013

online

16 - 03 - 2013

Contributors

author

Sławomir Szydlik

• Independent Public Complex of Health Care Facilities in Pajęczno, Internal Medicine Ward, Ordynator: lek. K. Stanior

author

Justyna Jankowska-Szydlik

• Independent Public Complex of Health Care Facilities in Pajęczno, Internal Medicine Ward, Ordynator: lek. K. Stanior

author

Mariusz Kasprzyk

• Department of Thoracic Surgery, Medical University in Poznań, Kierownik: prof. dr hab. W. Dyszkiewicz

author

Wojciech Dyszkiewicz

• Department of Thoracic Surgery, Medical University in Poznań, Kierownik: prof. dr hab. W. Dyszkiewicz

author

Jarosław Adamczak

• Department of Thoracic Surgery, Medical University in Poznań, Kierownik: prof. dr hab. W. Dyszkiewicz

author

Damian Zwaruń

• 1st Department of Anesthesiology and Intensive Care, Medical University in Poznań, Kierownik: dr hab. P. Sobczyński

References

• 1. Nuss D, Kelly RE Jr, Croitoru DP et al.: A 10-year review of a minimally invasive technique for thecorrection of pectus excavatum. J Pediatr 1998; 33: 545-52.
• 2. Kowalewski J, Barcikowski S, Brocki M: Cardiorespiratory function before and after operation for pectus excavatum. Medium term results. Eur JCardiothoracic Surg 1998; 13: 275-79.[Crossref]
• 3. Quigley PM , Haller JA Jr, Jelus KL et al.: Cardiorespiratory function before and after corrective surgery in pectus excavatum. J Pediatr 1996; 128(5 Pt 1): 639-43.
• 4. Derveaux L, Clarysse I, Ivanoff I et al.: Preoperative and postoperative abnor malities in chest X-ray indices and in lung function in pectus excavatum. Chest 1989, 95, 850-56.
• 5. Cahill JL, Lees GM, Robertson HT : A summary of preoperative and postoperative cardiorespiratory performance inpatients undergoing pectus excavatum and carinatum repair. J Pediatr Surg 1984; 19(4): 430-33.[Crossref]
• 6. Kubiak R, Hablet S, Hammer J et al.: Pulmonary function following completion of Minimally Invasive Repair for Pectus Excavatum (MIRPE), EurJ Pediatr Surg 2007; 17(4): 255-60.
• 7. Aronson DC , Bosgraaf RP , Merz EM et al.: Lung function after the minimal invasive pectus excavatum repair (Nuss procedure). World J Surg 2007; 31(7): 1518-22.[WoS][Crossref]
• 8. Lawson ML , Mellins RB, Tabangin M et al.: Nuss D.: Impact of pectus excavatum on pulmonary function before and after repair with the Nuss procedure. J Pediatr Surg 2005; 40: 174-80; discussion 180.[Crossref]
• 9. Kaguroaka H, Ohnuki T, Itaoka T et al.: Degree of severity of pectus excavatum and pulmonary function in preoperative and postoperative periods,J Thorac Cardiovasc Surg 1992; 104(5): 1483-88.
• 10. Fonkalsrud EW , Dunn JC, Atkinson JB: Repair of Pectus Excavatum Deformities: 30 Years of Experience With 375 Patients. Ann Surg 2000; 231(3): 443-48.
• 11. Malek MH , Berger DE , Housh TJ et al.: Cardiovascular function following surgical repair of pectus excavatum: a metaanalysis. Chest 2006; 130(2): 506-16.
• 12. Xiao-Ping J, Ting-Ze H, Wen-Ying L et al.: Pulmonary function for pectus excavatum at longterm follow-up. J Pediatr Surg 1999; 34: 1787-90.[Crossref]
• The aim of the study was to evaluate lung function among patients who underwent Nuss Procedure.[PubMed]
• The analysis included spirometric evaluation of the lung function before Nuss Procedure, during perioperative period and after removing steel bars from behind the sternum.[PubMed]
• Material and methods. The study group involved patients operated on the pectus excavatum in the Department of Thoracic Surgery in Poznań in years 2002-2004. The study group consisted of 44 patients (5 females and 39 males). Aged between 10 to 32 years old, the mean age was 16. The following spirometric parameters were analysed: vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in 1s (FEV1), FEV1/VC ratio, peak expiratory flow (PEF), forced expiratory flow for 25% (FEF25), 50% (FEF50) and 75% FVC (FEF75).
• Results. The values of the FVC, FEV1, FEF25, and FEV1/VC ratio in the study group were significantly higher in the postoperative period in comparison with the preoperative period. There was a statistically significant correlation between the improvement in spirometric parameters after Nuss Procedure and the impairment of spirometric values in preoperative period. There were no statistical differences between the value of initial chest deformation and spirometric parameters improvement.
• There were also no statistically significant correlations between age, height and weight of the patient in the study group and spirometric values improvement.
• Conclusion. There is a statistical improvement in lung function in patients who underwent Nuss Procedure. The improvement in spirometric parameters correlates with the impairment of spirometric values in the preoperative period.[PubMed]

Identifiers

DOI

10.2478/pjs-2013-0001