The American Journal of Surgery
Volume 195, Issue 3 , Pages 313-317 , March 2008

Complications associated with the Nuss procedure: continued evolution of the learning curve

  • Ravindra K. Vegunta, M.D., F.A.C.S.

      Affiliations

    • Department of Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USA
    • Children’s Hospital of Illinois, 420 NE Glen Oak Dr., Suite 201, Peoria, IL 61603, USA
    • ,
  • Paul E. Pacheco, M.D.

      Affiliations

    • Department of Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USA
    • Children’s Hospital of Illinois, 420 NE Glen Oak Dr., Suite 201, Peoria, IL 61603, USA
    • ,
  • Lizabeth J. Wallace, R.N., M.S., C.P.N.P.

      Affiliations

    • Department of Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USA
    • Children’s Hospital of Illinois, 420 NE Glen Oak Dr., Suite 201, Peoria, IL 61603, USA
    • ,
  • Richard H. Pearl, M.D., F.A.C.S.

      Affiliations

    • Department of Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USA
    • Children’s Hospital of Illinois, 420 NE Glen Oak Dr., Suite 201, Peoria, IL 61603, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-309-624-8951; fax: +1-309-655-3948.

Received 16 November 2007 ,Revised 11 December 2007

References 

  1. Goretsky MA, Kelly RE, Croitoru D. Chest wall anomalies: pectus excavatum and pectus carinantum. Adolesc Med. 2004;15:455–471
  2. Nuss D, Kelly RE, Croitoru DP, et al. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg. 1998;33:545–552
  3. Kim DH, Hwang JJ, Lee MK, et al. Analysis of the Nuss procedure for pectus excavatum in different age groups. Ann Thorac Surg. 2005;80:1073–1077
  4. Ong C, Choo K, Morreau P, et al. The learning curve in learning the curve: a review of Nuss procedure in teenagers. Aust N Z J Surg. 2005;75:421–424
  5. Park HJ, Lee SY, Lee CS, et al. The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients. Ann Thorac Surg. 2004;77:289–295
  6. Boehm RA, Muensterer OJ, Holger T. Comparing minimally invasive funnel chest repair versus the conventional technique: an outcome analysis in children. Plast Reconstr Surg. 2004;114:668–673
  7. Uemura S, Nakagawa Y, Yoshida A, et al. Experience in 100 cases with the Nuss procedure using a technique for stabilization of the pectus bar. Pediatr Surg Int. 2003;19:186–189
  8. Park HJ, Lee SY, Lee CS. Complications associated with the Nuss procedure: analysis of risk factors and suggested measures for prevention of complications. J Pediatr Surg. 2004;39:391–395
  9. Hebra A, Gauderer MW, Tagge E, et al. A simple technique for preventing bar displacement with the Nuss repair of pectus excavatum. J Pediatr Surg. 2001;36:1266–1268
  10. Park HJ, Chung W, Jo W, et al. Mechanism of bar displacement and corresponding bar fixation techniques in Nuss repair of pectus excavatum. Abstract presented at The American Pediatric Surgical Association Annual Meeting, J Pediatr Surg (in press).
  11. Fox ME, Bensard DD, Roaten JB, et al. Positioning for the Nuss procedure: avoiding brachial plexus injury. Paediatr Anaesth. 2005;15:1067–7
  12. Hoel TM, Kjell AR, Svennevig JL. A life-threatening complication of the Nuss-procedure for pectus excavatum. Ann Thorac Surg. 2006;81:370–372
  13. Marusch F, Gastinger I. Life-threatening complication of the Nuss-procedure for funnel chest (A case report). Zentralbl Chir. 2003;128:981–984
  14. Ostlie DJ, Marosky JK, Spilde TL, et al. Evaluation of pectus bar position and osseus bone formation. J Pediatr Surg. 2003;38:953–956

PII: S0002-9610(07)00984-1

doi: 10.1016/j.amjsurg.2007.12.015

The American Journal of Surgery
Volume 195, Issue 3 , Pages 313-317 , March 2008

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