Corrección mínimamente invasiva (Operación de Nuss) del pectus excavatum en pacientes adultos

Background: A minimally invasive technique or Nuss procedure was devised for children with pectus excavatum (funnel chest), but it is also used in adult patients. Aim: To report the experience with the Nuss procedure in adults' patients with pectus excavatum. Material and methods: Prospective s...

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Autores principales:	Prats M,Rafael, González L,Roberto, Venturelli M,Francisco, Lazo P,David, Santolaya C,Raimundo, Rodríguez D,Patricio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2009
Materias:	Funnel chest Scoliosis Thoracic surgery
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009001200006
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spelling	oai:scielo:S0034-988720090012000062010-05-24Corrección mínimamente invasiva (Operación de Nuss) del pectus excavatum en pacientes adultosPrats M,RafaelGonzález L,RobertoVenturelli M,FranciscoLazo P,DavidSantolaya C,RaimundoRodríguez D,Patricio Funnel chest Scoliosis Thoracic surgery Background: A minimally invasive technique or Nuss procedure was devised for children with pectus excavatum (funnel chest), but it is also used in adult patients. Aim: To report the experience with the Nuss procedure in adults' patients with pectus excavatum. Material and methods: Prospective study of patients operated between January 2007 and January 2009. Clinical features, symptoms, operative time, postoperative complications, hospital stay and quality of life, using the Nuss questionnaire adapted for adults, was recorded. Results: Eighteen patients aged 18±2 years (14 males) were operated. Seven patients had scoliosis, two had depression, two had asthma and one had a Marfan syndrome. AU patients were concerned about aesthetic issues, nine had dyspnea, three had compression of cardiac cavities and three had pulmonary function disturbances. Haller index was 3.8. Mean operative time was 92 minutes. Postoperative complications were a pneumothorax without chest tube management in two patients, a peridural hematoma in one patient and a bar stabilizer infection that required a reoperation in one patient. No patient died and the mean hospital stay was six days. The Nuss questionnaire scores in the pre and postoperative periods were 33 and 48, respectively (p <0.05). Conclusions: Nuss operation is feasible and safe in adults with pectus excavatum.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.137 n.12 20092009-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009001200006es10.4067/S0034-98872009001200006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Funnel chest Scoliosis Thoracic surgery
spellingShingle	Funnel chest Scoliosis Thoracic surgery Prats M,Rafael González L,Roberto Venturelli M,Francisco Lazo P,David Santolaya C,Raimundo Rodríguez D,Patricio Corrección mínimamente invasiva (Operación de Nuss) del pectus excavatum en pacientes adultos
description	Background: A minimally invasive technique or Nuss procedure was devised for children with pectus excavatum (funnel chest), but it is also used in adult patients. Aim: To report the experience with the Nuss procedure in adults' patients with pectus excavatum. Material and methods: Prospective study of patients operated between January 2007 and January 2009. Clinical features, symptoms, operative time, postoperative complications, hospital stay and quality of life, using the Nuss questionnaire adapted for adults, was recorded. Results: Eighteen patients aged 18±2 years (14 males) were operated. Seven patients had scoliosis, two had depression, two had asthma and one had a Marfan syndrome. AU patients were concerned about aesthetic issues, nine had dyspnea, three had compression of cardiac cavities and three had pulmonary function disturbances. Haller index was 3.8. Mean operative time was 92 minutes. Postoperative complications were a pneumothorax without chest tube management in two patients, a peridural hematoma in one patient and a bar stabilizer infection that required a reoperation in one patient. No patient died and the mean hospital stay was six days. The Nuss questionnaire scores in the pre and postoperative periods were 33 and 48, respectively (p <0.05). Conclusions: Nuss operation is feasible and safe in adults with pectus excavatum.
author	Prats M,Rafael González L,Roberto Venturelli M,Francisco Lazo P,David Santolaya C,Raimundo Rodríguez D,Patricio
author_facet	Prats M,Rafael González L,Roberto Venturelli M,Francisco Lazo P,David Santolaya C,Raimundo Rodríguez D,Patricio
author_sort	Prats M,Rafael
title	Corrección mínimamente invasiva (Operación de Nuss) del pectus excavatum en pacientes adultos
title_short	Corrección mínimamente invasiva (Operación de Nuss) del pectus excavatum en pacientes adultos
title_full	Corrección mínimamente invasiva (Operación de Nuss) del pectus excavatum en pacientes adultos
title_fullStr	Corrección mínimamente invasiva (Operación de Nuss) del pectus excavatum en pacientes adultos
title_full_unstemmed	Corrección mínimamente invasiva (Operación de Nuss) del pectus excavatum en pacientes adultos
title_sort	corrección mínimamente invasiva (operación de nuss) del pectus excavatum en pacientes adultos
publisher	Sociedad Médica de Santiago
publishDate	2009
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009001200006
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Corrección mínimamente invasiva (Operación de Nuss) del pectus excavatum en pacientes adultos

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