From: Impact of delayed removal of pectus bar on outcomes following Nuss repair: a retrospective analysis
Characteristics | Total (n = 542) | Group A (n = 419) | Group B (n = 32) |
---|---|---|---|
Age at repair, year, median (range) | 23 (7–56) | 23 (7–56) | 25 (15–39) |
Age at bar removal, median (range) | 27 (11–60) | 27 (10–60) | 33 (21–47) |
Sex, male, n (%) | 487 (89.9) | 412 (98.3) | 30 (93.8) |
BMI, median, (range kg/m2) | 19.8 (13.8–28.6) | 19.6 (13.8–28.6) | 20.9 (15.61–28.54) |
Haller index (preoperative), median (range) | 3.91 (2.52–25.31) | 3.83 (2.52–25.31) | 4.19 (2.52–6.66) |
History of pectus repair before removal, n (%) | |||
Primary Nuss repair | 507 (93.5) | 492 (100) | 32 (100) |
Previous Ravitch repair | 8 (1.5) | ||
Revision of Nuss repair | 27 (5.0) | ||
Number of bars, n (%) | |||
1 | 118 (21.8) | 91 (21.7) | 8 (25.0) |
2 | 397 (73.2) | 302 (72.1) | 24 (75.0) |
3 | 27 (5.0) | 26 (6.2) | 0 (0) |
Duration of correction, years, median (range) | 4.1 (0.1–16.2) | 4.2 (3.0–5.9) | 7.7 (6.0–16.2) |
Operation time, min, median (range) | 65 (35–210) | 65 (40–140) | 85 (45–210) |
Estimate blood loss, mL, median (range) | 10 (5–120) | 10 (10–80) | 35 (10–120) |
Blood transfusion, n (%) | 0 (0) | 0 (0) | 0 (0) |
Hospital stays, days, median (range) | 2 [2,–5] | 2 ( 2–3) | 2 (2,–5) |
Complications, n (%) | 26 (4.8) | 23 (5.5) | 3 (9.4) |
Severity/type | |||
CDC I | 17 (3.1) | ||
Seroma/hematoma: observation | 4 (0.7) | ||
Pneumothorax: residual; observation | 10 (1.8) | ||
Wound dehiscence: wound care | 3 (0.6) | ||
CDC II | 9 (1.7) | ||
Seroma/hematoma: local treatment | 1 (0.2) | ||
Pneumothorax: catheter drainage | 1 (0.2) | ||
Wound dehiscence: local treatment | 1 (0.2) | ||
Wound infection: topical antibiotics | 3 (0.6) | ||
Prolonged chest pain: medication | 2 (0.4) | ||
CDC III/IV | 0 (0) |