Hisako Kuyama1, Sadashige Uemura2, Atsushi Yoshida2, Mayumi Yamamoto2. 1. Department of Pediatric Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki-City, Okayama, 701-0192, Japan. hkuyama@med.kawasaki-m.ac.jp. 2. Department of Pediatric Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki-City, Okayama, 701-0192, Japan.
Abstract
PURPOSE: The aim of this study was to show the difference between the pulmonary function of children with mild or severe types of pectus excavatum (PE) and post-operative changes in their predicted vital capacity (%VC) following Nuss procedure. PATIENTS AND METHODS: One hundred and twenty-four of the 208 children who underwent Nuss procedure for PE between January 2007 and March 2016 were deemed eligible for this study and evaluated retrospectively. A spirometry was performed on these children on four occasions: before operation; pre-bar removal; and 1 month and 1 year after bar removal. Ninety-seven of the children who were more than 7 years of age were divided using the Haller Index (HI) into a mild group (n = 54) and a severe group (n = 43) and compared. The children were also divided into three groups based on their age and their %VC was compared at each follow-up occasion. RESULTS: The severe group showed a significantly lower %VC and peak expiratory flow rate than the mild group. %VC change after bar removal showed significantly lower in group aged 11 or over. 43 of the children had spirometry data recorded 1 year after bar removal which, compared with 1 month after bar removal, showed a significant higher %VC in groups aged of 10 or under. CONCLUSION: Nuss procedure in children aged of 10 or under proved to be an advantage in the post-operative pulmonary function.
PURPOSE: The aim of this study was to show the difference between the pulmonary function of children with mild or severe types of pectus excavatum (PE) and post-operative changes in their predicted vital capacity (%VC) following Nuss procedure. PATIENTS AND METHODS: One hundred and twenty-four of the 208 children who underwent Nuss procedure for PE between January 2007 and March 2016 were deemed eligible for this study and evaluated retrospectively. A spirometry was performed on these children on four occasions: before operation; pre-bar removal; and 1 month and 1 year after bar removal. Ninety-seven of the children who were more than 7 years of age were divided using the Haller Index (HI) into a mild group (n = 54) and a severe group (n = 43) and compared. The children were also divided into three groups based on their age and their %VC was compared at each follow-up occasion. RESULTS: The severe group showed a significantly lower %VC and peak expiratory flow rate than the mild group. %VC change after bar removal showed significantly lower in group aged 11 or over. 43 of the children had spirometry data recorded 1 year after bar removal which, compared with 1 month after bar removal, showed a significant higher %VC in groups aged of 10 or under. CONCLUSION: Nuss procedure in children aged of 10 or under proved to be an advantage in the post-operative pulmonary function.
Authors: A Nonoyama; K Tanaka; K Kagawa; K Ohmoto; M Umemoto; A Tatsumi; Y Saito; T Ohsako; S Kotani; T Kagawa Journal: Nihon Kyobu Geka Gakkai Zasshi Date: 1985-06
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Authors: M Louise Lawson; Robert B Mellins; James F Paulson; Robert C Shamberger; Keith Oldham; Richard G Azizkhan; Andre V Hebra; Donald Nuss; Michael J Goretsky; Ronald J Sharp; George W Holcomb; Walton K T Shim; Stephen M Megison; R Lawrence Moss; Annie H Fecteau; Paul M Colombani; Alan B Moskowitz; Joshua Hill; Robert E Kelly Journal: J Pediatr Date: 2011-03-22 Impact factor: 4.406
Authors: Robert E Kelly; Robert C Shamberger; Robert B Mellins; Karen K Mitchell; M Louise Lawson; Keith Oldham; Richard G Azizkhan; Andre V Hebra; Donald Nuss; Michael J Goretsky; Ronald J Sharp; George W Holcomb; Walton K T Shim; Stephen M Megison; R Lawrence Moss; Annie H Fecteau; Paul M Colombani; Traci C Bagley; Alan B Moskowitz Journal: J Am Coll Surg Date: 2007-06-21 Impact factor: 6.113