ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Factors determining the complications in Nuss procedure
Özgür Katrancıoğlu1, Yücel Akkaş2, Tuba Şahinoğlu3, Ekber Şahin1, Şule Karadayı1, Nurkay Katrancıoğlu4
1Department of Thoracic Surgery, Medicine Faculty of Cumhuriyet University, Sivas, Turkey
2Department of Thoracic Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey
3Department of Thoracic Surgery, Konya Numune Hospital, Konya, Turkey
4Department of Cardiovascular Surgery, Gözde Academy Hospital, Malatya, Turkey
DOI : 10.5606/tgkdc.dergisi.2018.15707
Background: This study aims to share our experiences in complications developing in patients who underwent Nuss procedure and the management of these complications.

Methods: In the study, files of 59 patients (50 males, 9 females; mean age 17.6±5.1 years; range, 2.5 to 33 years) who were applied Nuss procedure for pectus excavatum in our clinic between July 2007 and May 2016 were retrospectively assessed. Patients" age, gender, surgical method-complications and hospitalization durations were recorded. Fisher"s chisquare test and logistic regression analysis were used for data evaluation.

Results: Nuss procedure was performed in all patients without severe complications such as death, organ injury or massive hemorrhage. The most frequently observed postoperative earlyperiod complication was minimal pneumothorax (n=16, 27.1%), while bar dislocation was most frequently observed in the lateperiod (n=5, 8.3%).

Conclusion: Being male and/or over 23 years of age were determined as risk factors for complication development after Nuss procedure. Still, being a minimally invasive and manageable approach with its success in correcting the deformity, short operation duration, and low complication rates, Nuss procedure can be safely performed in selected patients.

Keywords : Complications; minimally invasive surgery; Nuss procedure; pectus excavatum
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