Korean J Thorac Cardiovasc Surg.  2012 Oct;45(5):308-315. 10.5090/kjtcs.2012.45.5.308.

Long-term Surveillance Comparing Satisfaction between the Early Experience of Nuss Procedure vs. Ravitch Procedure

• Kang CH
• Park S
• Park IK
• Kim YT
• Kim JH

• KMID: 1433626
• DOI: http://doi.org/10.5090/kjtcs.2012.45.5.308

Abstract

BACKGROUND
Long-term surveillance comparing satisfaction between the early experience of Nuss procedure vs. Ravitch procedure.
MATERIALS AND METHODS
A total of 100 patients that underwent surgical correction of a pectus excavatum between 2001 and 2004 and were followed for > or =2 years were included. Surveillance on the degree of satisfaction was performed using five-levels of the Likert scale and self-assessment scoring.
RESULTS
Nuss or Ravitch surgery was performed in 63 and 37 patients, respectively. The Nuss procedure required a shorter operation time and shorter hospital stay than the Ravitch procedure (p<0.001). The surveillance demonstrated that 17.6% of the Nuss group and 35.7% of the Ravitch group were not satisfied with the outcome of the surgery (p=0.072). The most common causes of dissatisfaction were redepression in the Nuss group (n=5) and incomplete correction in the Ravitch group (n=7). The multivariate analysis showed that reoperation and a high postoperative pectus index were significant risk factors for a low satisfaction score.
CONCLUSION
The Nuss procedure had several advantages over the Ravitch procedure in the immediate postoperative period. However, the long-term satisfaction was determined by a complete correction without recurrence or need for re-intervention rather than by the operation type.

Keyword

Thoracic wall; Minimally invasive surgery; Outcome assessment; Quality of life; Funnel chest

MeSH Terms

Funnel Chest
Humans
Length of Stay
Multivariate Analysis
Postoperative Period
Quality of Life
Recurrence
Reoperation
Risk Factors
Self-Assessment
Thoracic Wall