Although the Nuss procedure might seem like a routine treatment option for Pectus Excavatum, large scale data supporting the indications, safety, efficacy, and economics of the procedure are lacking. In this study, Dr. Hans Pilegaard published a review of 1,713 patients receiving a modified Nuss Procedure (a shorter bar) in Denmark between 2001 and 2016. This is an impressive number of cases and results from such studies are particularly important. Here, I will highlight a few important findings. Firstly, the average duration of the procedure was 36 minutes and the median postoperative hospital stay eventually reached 2 days, down from 6 days towards the start of the study in 2001. The proportion of patients older than 30 increased from 7.7% to 10% of cases. About 60% of patients reported cardiopulmonary symptoms. Complication rates were fairly low overall, with less than 1% bar flipping, a dramatic improvement over a 15% rate in the traditional Nuss procedure. Overall, Dr. Pilegaard shows that the short bar procedure is safe. These results highlight the importance of seeking a skilled and experienced surgeon. Further studies should elucidate whether or not the short bar technique is superior to the traditional Nuss technique.
Research Single centre experience on short bar technique for pectus excavatum
Single centre experience on short bar technique for pectus excavatum
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Link to Article Online, 2016