Minimally Invasive Repair of Pectus Excavatum: A Lifeline to Quality of Life
Abstract
1. Introduction
2. Materials and Methods
3. Results
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Characteristics | |
---|---|
Age, y, median (IQR; range) | 18.7 (6.2; 14–51) |
Gender, n (%) | |
Male | 195 (83) |
Female | 39 (17) |
Haller index, median (IQR) | 4.0 (1.3) |
Preoperative symptoms, n (%) | |
Exercise intolerance | 199 (85.0) |
Psychosocial complaints | 156 (66.7) |
Dyspnea at rest | 168 (71.8) |
Cardiovascular Symptoms | 134 (57.3) |
Chest pain other than angina pectoris | 80 (34.2) |
Back pain | 83 (35.5) |
Muscle stiffness | 38 (16.2) |
Gastrointestinal Symptoms | 8 (3.4) |
Dimension (abbr.) | No° of Questions | |
---|---|---|
Functional status | Physical functioning (PF) | 10 |
Social functioning (SF) | 2 | |
Physical role limitations (PRL) | 4 | |
Emotional role limitations (ERL) | 3 | |
Well-being | Mental health (MH) | 5 |
Vitality (VI) | 4 | |
Bodily Pain (PA) | 2 | |
General health perception (GH) | 5 | |
Health change | 1 | |
Total | 36 |
Physical Functioning (PF) | This domain assesses the patient’s ability to perform basic and advanced physical activities of daily living. |
Social Functioning (SF) | This domain evaluates the patient’s ability to participate in social activities and maintain social relationships. |
Physical role limitations (PRL) | This domain evaluates the impact of physical health on the patient’s ability to carry out work or other significant role-related activities. |
Emotional role limitations (ERL) | This domain assesses the impact of emotional problems on the patient’s ability to perform work or other role-related activities. |
Mental health (MH) | This domain reflects the patient’s overall emotional and psychological well-being |
Vitality (VI) | This domain assesses the patient’s energy levels and overall sense of well-being. |
Bodily pain (PA) | This domain measures the intensity and interference of pain on daily life. |
General health (GH) | This domain captures the patient’s subjective assessment of their overall health status. |
Characteristics | |
---|---|
Bars inserted, n (%) | |
1 bar | 86 (37) |
2 bars | 140 (60) |
3 bars | 8 (3) |
Bar length, inches, median (IQR) | |
Cranial bar | 12 (2) |
Caudal bar | 12 (1) |
Tensiometrie, Nm, median (IQR) | 160 (50) |
Operation time, min, median (IQR) | 89 (38) |
Length of hospital stay, d, median (IQR) | 7 (2) |
Postoperative morbidity, n (%) | |
Bar displacement requiring reoperation | 9 (3.8) |
Empyema | 2 (0.85) |
Deep wound infection requiring reoperation | 3 (1.28) |
Pleural effusion requiring intervention | 2 (0.85) |
Pneumothorax requiring intervention | 10 (4.27) |
Hemothorax requiring intervention | 2 (0.85) |
Recurrence after bar removal | 2 (0.85) |
Wound infection | 4 (1.7) |
Chronic pain | 5 (2.13) |
Characteristics | German Population | Before Surgery | After Surgery | p-Value |
---|---|---|---|---|
Physical functioning (PF) | 94.9 (94.0–95.7) | 80.02 ± 20.7 | 94.68 ± 14.0 | 0.087 |
Social Functioning (SF) | 87.1 (85.6–88.7) | 68.05 ± 28.8 | 91.27 ± 16.2 | <0.001 |
Physical role limitations (PRL) | 91.5 (90.4–92.6) | 68.78 ± 38.7 | 89.69 ± 27.3 | 0.016 |
Emotional role limitations (ERL) | 88.8 (87.4–90.1) | 67.72 ± 40.3 | 94.53 ± 19.7 | 0.003 |
Mental health (MH) | 72.4 (71.2–73.5) | 65.19 ± 19.8 | 83.75 ± 13.6 | <0.001 |
Vitality (VI) | 60.4 (59.4–61.4) | 49.23 ± 19.6 | 71.43 ± 19.0 | <0.001 |
Bodily pain (PA) | 85.0 (83.5–86.5) | 68.34 ± 27.7 | 84.50 ± 21.7 | 0.002 |
General health (GH) | 74.5 (73.3–75.6) | 61.03 ± 23.2 | 86.54 ± 16.8 | <0.001 |
Summary | ||||
Physical Component Summary Score (PCS) | 55.8 (55.4–56.2) | 47.36 ± 10.2 | 53.99 ± 7.6 | 0.007 |
Mental Component Summary Score (MCS) | 48.0 (47.3–48.7) | 43.70 ± 11.5 | 54.42 ± 7.3 | <0.001 |
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Higaze, M.; Haj Khalaf, M.A.; Parjiea, C.; Sirbu, H. Minimally Invasive Repair of Pectus Excavatum: A Lifeline to Quality of Life. J. Clin. Med. 2024, 13, 6888. https://doi.org/10.3390/jcm13226888
Higaze M, Haj Khalaf MA, Parjiea C, Sirbu H. Minimally Invasive Repair of Pectus Excavatum: A Lifeline to Quality of Life. Journal of Clinical Medicine. 2024; 13(22):6888. https://doi.org/10.3390/jcm13226888
Chicago/Turabian StyleHigaze, Mostafa, Mohamed Anwar Haj Khalaf, Chirag Parjiea, and Horia Sirbu. 2024. "Minimally Invasive Repair of Pectus Excavatum: A Lifeline to Quality of Life" Journal of Clinical Medicine 13, no. 22: 6888. https://doi.org/10.3390/jcm13226888
APA StyleHigaze, M., Haj Khalaf, M. A., Parjiea, C., & Sirbu, H. (2024). Minimally Invasive Repair of Pectus Excavatum: A Lifeline to Quality of Life. Journal of Clinical Medicine, 13(22), 6888. https://doi.org/10.3390/jcm13226888