Nuss Technique for Pectus Excavatum in Adult Patients: Cosmetic Satisfaction and Improvement of Quality of Life in a Single-Center Experience

Frontiers in Surgery

article

Domenico Viggiano¹  Stefano Bongiolatti¹  Sara Borgianni¹  Roberto Lo Piccolo²  Luca Voltolini¹  Alessandro Gonfiotti¹ 

[1] Thoracic Surgery Unit, Careggi University Hospital;Department of Pediatric Surgery, University of Florence and Children’s University Hospital A. Meyer

关键词: pectus excavatum;    Nuss procedure;    pectus bar;    chest wall deformities;    minimally invasive repair of pectus excavatum;   

DOI  :  10.3389/fsurg.2022.903791

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objectives Since its introduction, the Nuss minimally invasive procedure for pectus excavatum (PE) repair (MIRPE) has become the method of choice. The current study describes our experience of PE correction in adults, with particular focus on postoperative outcomes, pain, quality of life, and patients’ satisfaction. Methods We enrolled for this observational study n  = 93 adult patients from 2011 to 2018. The Haller index was used to quantify PE severity. Pulmonary function tests and cardiac examinations were performed preoperatively; we developed a standardized surgical technique and postoperative treatment, including follow-up at 3, 12, and 24 months after surgery and 6 months after bar removal. We also evaluated the quality of life and the satisfaction with the cosmetic result after the procedure with standardized questionnaires. Results No operative or perioperative deaths occurred nor life-treating complications. Thirteen complications occurred in 12 patients, with a total complication rate of 14% ( n  = 13/93). Pain intensity decreased in the follow-up [pain score visual analog scale at 3 months: median 1 (0–8); 12 months: median 1 (0–5); and 24 months: median 1 (0–4)]. Better or much better quality of life after the Nuss procedure was observed: n  = 79 (84.1%) at 3 months, n  = 80 (86%) at 12 months, and n  = 85 (91.4%) at 24 months. After 2 years of observation, more than 90% of patients described improvement in their quality of life and satisfaction with the cosmetic results. Only a very small group of patients suffered from pain in the follow-up. Conclusion Our results demonstrate that the MIRPE procedure is safe and can be performed with excellent results in adults both for improvement of quality of life and for satisfaction with cosmetic results.

【 授权许可】

CC BY