Changes in thoracic cavity dimensions of pectus excavatum patients following Nuss procedure

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Pleural effusion complicating after Nuss procedure for pectus excavatum.

PURPOSE The Nuss procedure is a minimally invasive method for the correction of pectus excavatum (PE). Pleural effusion complicating following the Nuss procedure was uncommon but may be critical. We evaluated the risk factors of postoperative pleural effusion after Nuss repair. METHODS We included all patients with PE primarily corrected by Nuss procedure from July 2005 to December 2011. The ...

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Efficacy and safety of modified bilateral thoracoscopy-assisted Nuss procedure in adult patients with pectus excavatum.

OBJECTIVE Several modifications for increasing the efficacy and safety of the minimally invasive surgery (Nuss procedure) for repair of pectus excavatum in pediatric patients were presented. In this study, we apply a modified bilateral thoracoscopic approach to adapt the Nuss procedure to adult patients. METHODS We prospectively included all adult patients with pectus excavatum corrected by m...

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Outcomes in adult pectus excavatum patients undergoing Nuss repair

Pectus excavatum (PEx) is one of the most common congenital chest wall deformities. Depending on the severity, presentation of PEx may range from minor cosmetic issues to disabling cardiopulmonary symptoms. The effect of PEx on adult patients has not been extensively studied. Symptoms may not occur until the patient ages, and they may worsen over the years. More recent publications have implied...

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Routine postoperative chest X-ray is unnecessary following the Nuss procedure for pectus excavatum.

OBJECTIVES Pneumothorax is the most common complication after the Nuss procedure for pectus excavatum. The majority of pneumothoraces are small, and the patients have no symptoms. The aim of this study was to evaluate the necessity for routine chest X-ray immediately after surgery. METHODS Group I consists of 644 patients who were operated on with a Nuss procedure for pectus excavatum between...

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Preliminary analysis of the forces on the thoracic cage of patients with pectus excavatum after the Nuss procedure.

BACKGROUND The Nuss procedure corrects pectus excavatum using a pre-bent bar that generates stress on the chest wall. To investigate the biomechanical effects after the Nuss procedure, we designed a three-dimensional finite element analysis model to analyze the distribution of stress and strain induced in the chest wall. METHODS Three patients with pectus excavatum aged 8, 7, and 7 years, wer...

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ژورنال

عنوان ژورنال: Journal of Thoracic Disease

سال: 2018

ISSN: 2072-1439,2077-6624

DOI: 10.21037/jtd.2018.06.159