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KMID : 0364020120450050308
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Korean Journal of Thoracic and Cardiovascular Surgery
2012 Volume.45 No. 5 p.308 ~ p.315
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Long-term Surveillance Comparing Satisfaction between the Early Experience of Nuss Procedure vs. Ravitch Procedure
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Kang Chang-Hyun
Park Samina
Park In-Kyu
Kim Young-Tae
Kim Joo-Hyun
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Abstract
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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 ≥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.
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KEYWORD
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Thoracic wall, Minimally invasive surgery, Outcome assessment, Quality of life, Funnel chest
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