کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4281219 | 1611583 | 2008 | 5 صفحه PDF | دانلود رایگان |
BackgroundWe report unusual and/or significant complications encountered during and after the Nuss Procedure for pectus excavatum.MethodsThis was a retrospective review that was approved by the institutional review board, with parental consent.ResultsSeven 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.ConclusionsThe 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.
Journal: The American Journal of Surgery - Volume 195, Issue 3, March 2008, Pages 313–317