[Minimally invasive correction of pectus excavatum among adults. Report of eighteen cases].
BACKGROUND
A minimally invasive technique or Nuss procedure was devised for children with pectus excavatum (funnel chest), but it is also used in adult patients.


OBJECTIVE
To report the experience with the Nuss procedure in adults' patients with pectus excavatum.


METHODS
Prospective study of patients operated between January 2007 and January 2009. Clinical features, symptoms, operative time, postoperative complications, hospital stay and quality of life, using the Nuss questionnaire adapted for adults, was recorded.


RESULTS
Eighteen patients aged 18+/-2 years (14 males) were operated. Seven patients had scoliosis, two had depression, two had asthma and one had a Marfan syndrome. AU patients were concerned about aesthetic issues, nine had dyspnea, three had compression of cardiac cavities and three had pulmonary function disturbances. Haller index was 3.8. Mean operative time was 92 minutes. Postoperative complications were a pneumothorax without chest tube management in two patients, a peridural hematoma in one patient and a bar stabilizer infection that required a reoperation in one patient. No patient died and the mean hospital stay was six days. The Nuss questionnaire scores in the pre and postoperative periods were 33 and 48, respectively (p <0.05).


CONCLUSIONS
Nuss operation is feasible and safe in adults with pectus excavatum.
Prats M
Rafael
R
Sección de Cirugía de Tórax, Servicio Médico Quirúrgico Respiratorio, Instituto Nacional del Tórax, Santiago, Chile.
González L
Roberto
R
Venturelli M
Francisco
F
Lazo P
David
D
Santolaya C
Raimundo
R
Rodríguez D
Patricio
P
D000328:Adult; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D005660:Funnel Chest / Q000523:psychology / Q000601:surgery*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000523:psychology; D011446:Prospective Studies; D016896:Treatment Outcome