The Nuss Procedure for the Correction of Pectus Excavatum

• Authors: Janusz Bohosiewicz , Grzegorz Kudela , Urszula Izwaryn
• Languages of publication: EN

Abstracts

EN

Pectus excavatum is one of the most common chest malformation. It occurs 4-5 times more often in boys. Familiar occurrence of the malformation has been observed. Two surgical techniques have been performed predominantly: the Ravitch method (1949) with further modifications and the Nuss minimally invasive method (1998).The aim of the study was presentation of our own, slightly modified surgical technique, its results and original analgesia method in early postoperative period.Material and methods. 190 Nuss procedures have been performer in years 1998-2008. 140 children operated on for the period of 8 years have been analyzed. A slightly modified surgical method and original postoperation intrapleural analgesia method have been presented. No thoracoscopy and no lateral stabilizations have been used. The Haller index of operated children was 2.2-5.8. The children's age was 4-18 years, av. 14 years. An average operation time was 40 min and 80 min together with anesthesia.Results. Very good result was achieved in 72%, good in 22% and bad in 5%. No mortality and inner organ injuries were noticed. Minor complications occurred in 12% of children.Conclusions. The Nuss procedure for the correction of pectus excavatum gives good and very good results in 94% of children. The minimal invasiveness of this method allows to use this method for minor defects. The limitation of this technique is asymmetric defect in which the Ravitch procedure is still the method of choice.

Keywords

EN

pectus excavatum; Nuss procedure; intrapleural analgesia; children

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2009
• Volume: 81
• Issue: 2
• Pages: 103-112

Dates

published

1 - 2 - 2009

online

20 - 3 - 2009

Contributors

author

Janusz Bohosiewicz

• Department of Paediatric Surgery, Medical University of Silesia, Upper Silesian Centre for Child Health, Katowice

author

Grzegorz Kudela

• Department of Paediatric Surgery, Medical University of Silesia, Upper Silesian Centre for Child Health, Katowice

author

Urszula Izwaryn

• Department of Anesthesiology, Intensive Care Upper Silesian Centre for Child Health, Katowice

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Identifiers

DOI

10.2478/v10035-009-0014-0