Correction of excavatum by minimally invasive surgery(Nuss Procedure)

Pichon Riviere A, Augustovski F, Ciapponi A, Cernadas C, Ferrante D, Regueiro A, Garcia Marti S
Record ID 32005000637
Spanish
Authors' objectives:

This study aims to assess the available evidence on the correction of excavatum by minimally invasive surgery (Nuss Procedure).

Authors' results and conclusions: The available evidence on the procedure safety and efficacy does not come from randomized trials, as there has been none to date. Non randomized comparative studies reported similar immediate surgical outcomes in both techniques. The Nuss procedure is associated to a number of relatively common and potentially severe complications:. pneumothorax, pleural effusion, pericarditis, infection, hemothorax, cardiac lesions and displacement of the bar. Cardiac lesions have not been reported since the use of thoracoscopy and the displacement of the bar has been reduced since the inclusion of stabilizing bars.
Authors' recommendations: The Nuss procedure is still a new practice, with short-term results similar to those of the conventional procedure but with a higher incidence of relatively common complications, uncertainty of its long-term effects and higher costs than the conventional procedure in our settings.
Authors' methods: Overview
Details
Project Status: Completed
URL for project: http://www.iecs.org.ar/
Year Published: 2004
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Prosthesis Implantation
  • Funnel Chest
Contact
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.