Nuss Technique for Pectus Excavatum in Adult Patients: Cosmetic Satisfaction and Improvement of Quality of Life in a Single-Center Experience.
| Autor: | Viggiano D; Thoracic Surgery Unit, Careggi University Hospital, Florence, Italy., Bongiolatti S; Thoracic Surgery Unit, Careggi University Hospital, Florence, Italy., Borgianni S; Thoracic Surgery Unit, Careggi University Hospital, Florence, Italy., Lo Piccolo R; Department of Pediatric Surgery, University of Florence and Children's University Hospital A. Meyer, Florence, Italy., Voltolini L; Thoracic Surgery Unit, Careggi University Hospital, Florence, Italy., Gonfiotti A; Thoracic Surgery Unit, Careggi University Hospital, Florence, Italy. |
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| Jazyk: | angličtina |
| Zdroj: | Frontiers in surgery [Front Surg] 2022 Jun 01; Vol. 9, pp. 903791. Date of Electronic Publication: 2022 Jun 01 (Print Publication: 2022). |
| DOI: | 10.3389/fsurg.2022.903791 |
| Abstrakt: | 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. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Viggiano, Bongiolatti, Borgianni, Lo Piccolo, Voltolini and Gonfiotti.) |
| Databáze: | MEDLINE |
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