Complications associated with the Nuss procedure: continued evolution of the learning curve.
Am J Surg
; 195(3): 313-6; discussion 316-7, 2008 Mar.
Article
en En
| MEDLINE
| ID: mdl-18206851
ABSTRACT
BACKGROUND:
We report unusual and/or significant complications encountered during and after the Nuss Procedure for pectus excavatum.METHODS:
This was a retrospective review that was approved by the institutional review board, with parental consent.RESULTS:
Seven patients had unique and/or significant complications as follows (1) laceration of an internal mammary artery during bar placement requiring emergent minithoracotomy; (2) hemopericardium 10 weeks postoperatively after blunt chest trauma requiring exploration of the pericardium and clot evacuation; (3) almost complete recurrence of the pectus excavatum deformity immediately after bar removal; (4 and 5) immediate/early postoperative bar displacement requiring re-operation and placement of 2 bars each; and (6 and 7) almost complete neo-ossification of the Nuss bar, making removal challenging.CONCLUSIONS:
The Nuss procedure has met with near-universal acceptance. Complications are just being reported. We describe 7 events to add to the evolving literature as the entire pediatric surgery community participates in the initial learning curve.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Torácicos
/
Tórax en Embudo
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Am J Surg
Año:
2008
Tipo del documento:
Article
País de afiliación:
Estados Unidos