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ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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2/2023
vol. 18
 
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Pediatric surgery
abstract:
Original paper

Post bar removal results of pectus deformity patients who underwent minimally invasive correction

Burcu Kılıç
1
,
Omer Faruk Saglam
1
,
Gokberk Guler
1
,
Ezel Ersen
1
,
Hasan Volkan Kara
1
,
Ahmet Demirkaya
1
,
Akif Turna
1
,
Kamil Kaynak
1

  1. Department of Thoracic Surgery, Faculty of Medicine, Istanbul University Cerrahpasa, Cerrahpasa, Turkey
Videosurgery Miniinv 2023; 18 (2): 364–371
DOI: https://doi.org/10.5114/wiitm.2022.123797
Online publish date: 2023/01/02
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Introduction
The most common chest wall deformities are pectus excavatum and pectus carinatum. Surgical repair of these deformities via minimally invasive technique using pectus bars is commonly preferred by numerous thoracic surgeons. Despite this common choice for treatment, the duration of the bar stay, the bar removal process, the possible complications and ways to prevent them have been debated over the years and still there is no single decision. Aim: To determine the decision making, surgical outcomes and negative factors in the bar removal process.

Material and methods
There were 1032 patients underwent bar removal between 2006–2020 and their data was recorded prospectively. We analyzed patients’ demographics, family history, Haller index, bar count, body mass index, stabilizer and wire usage, length of hospital stay, time until bar removal, incision side and complications retrospectively.

Results
There was no significant correlation between BMI and surgery time (p = 0.748). There was no statistically significant correlation between the age groups and the number of pectus bars removed. The other factors showed no significant difference. The surgery time was found to be significantly longer in those with callus tissue (p = 0.002).

Conclusions
These findings suggest that pectus bars can be left in place for a shorter time than the standard 3-year interval without any additional recurrence risk and without compromising quality of life. As a result, patients with persistent pain after pectus repair should be well evaluated for the possibility of life-threatening complications during bar removal.

keywords:

chest wall deformity, pectus bar removal, minimally invasive, complication
  
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