Articles Vol. 66 No. CĐ2-NCKH 24/03/2025

3. POSTOPERATIVE INFECTIOUS COMPLICATIONS AFTER NUSS PROCEDURE FOR PECTUS EXCAVATUM REPAIR

Tran Thanh Vy1,2,3,4
1 Thoracic and Vascular Department, University Medical Center Ho Chi Minh city
2 Department of Thoracic and Cardiovascular Surgery, University of Medicine and Pharmacy at Ho Chi Minh city
3 Khoa Lồng ngực - Mạch máu, Bệnh viện Đại học Y Dược thành phố Hồ Chí Minh
4 Bộ môn Phẫu thuật Lồng ngực - Tim mạch, Đại học Y Dược thành phố Hồ Chí Minh
Corresponding author: vy.tt@umc.edu.vn
DOI: 10.52163/yhc.v66iCĐ2.2186
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Keywords
Pectus excavatum Nuss procedure bar infection
Abstract

Objective: To describe the clinical and paraclinical characteristics in patients with infections following the Nuss procedure for pectus excavatum.

Method: A retrospective case series study was conducted at the University Medical Center Ho Chi Minh city. Data were collected from 21 patients diagnosed with bar infections after the Nuss procedure between January 2019 and May 2024. Clinical features, surgical details, and infection management were analyzed.

Results: The average patient age was 16.14 ± 4.93 years, with 71.4% being male. Asymmetric chest deformity was present in 71.4% of cases, and 85.7% underwent double-bar placement. Common infection symptoms included localized erythema (100%), purulent discharge (71.4%), chest pain (71.4%), and fever (66.7%). The average time to infection onset was 4.00 ± 5.05 months postoperatively. Deep bar infections occurred in 14.3% of cases, with one patient requiring early bar removal. Identified pathogens included Staphylococcus epidermidis and Staphylococcus aureus. Treatment mainly involved oral antibiotics, with some cases requiring abscess drainage or wound debridement.

Conclusions: Infections following the Nuss procedure are a challenging complication requiring early detection and timely intervention. Identifying risk factors, optimizing surgical techniques, and ensuring strict infection control measures are essential to reducing this complication.

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