Gelişmiş Arama

Basit öğe kaydını göster

dc.contributor.authorAtes, Ufuk
dc.contributor.authorEvin, Ege
dc.contributor.authorBahadir, Kutay
dc.contributor.authorAltinorgu, Erdem
dc.contributor.authorFirat, Selin
dc.contributor.authorCakmak, Murat
dc.contributor.authorYuksel, Mustafa
dc.date.accessioned2025-10-06T06:30:18Z
dc.date.available2025-10-06T06:30:18Z
dc.date.issued2025
dc.identifier.issn0179-0358
dc.identifier.issn1437-9813
dc.identifier.urihttps://doi.org/10.1007/s00383-025-06195-4
dc.identifier.urihttp://hdl.handle.net/11446/5492
dc.description.abstractPurpose Pectus excavatum (PE) is the most common congenital chest wall deformity. While often perceived as a cosmetic issue, PE can impair cardiopulmonary function. Surgical correction has evolved from the Ravitch procedure to the minimally invasive Nuss technique, which offers reduced surgical risks and improved postoperative outcomes. However, diagnostic and therapeutic variability persists, highlighting the need for expert consensus. Methods A 31-question web-based survey was distributed to CWIG members and PE specialists between November 2024 and January 2025. The survey explored five key domains: demographics, preoperative evaluation, surgical indications and timing, operative technique, and postoperative management. Responses from 100 international surgeons were analyzed. Results The most common indications for surgery were severe deformity (88.9%), Haller index > 3.25 (78.8%), psychosocial distress (77.8%), and symptoms (77.8%). Technique selection was influenced by prior surgery (48%) and surgeon experience (45.9%). For complex cases, 90.8% preferred the double-bar technique. Most surgeons removed the bar within 2-3 years (86.6%). Postoperative pain was primarily managed with oral analgesics (64.6%) and IV pumps (47.5%). Early complications included pneumothorax (68.1%) and infections (62.8%); bar displacement (78%) was the most frequent late complication. Conclusion Despite widespread adoption of the Nuss procedure, significant variation remains in PE management. These findings emphasize the need for standardized, evidence-based guidelines to optimize patient outcomes.en_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofPediatric Surgery Internationalen_US
dc.identifier.doi10.1007/s00383-025-06195-4
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPectus excavatumen_US
dc.subjectChest wall deformityen_US
dc.subjectMinimally invasive surgeryen_US
dc.subjectNuss procedureen_US
dc.titleInternational survey on the management of pectus excavatum: is there a consensus?en_US
dc.typearticleen_US
dc.departmentDBÜen_US
dc.identifier.issue1en_US
dc.identifier.volume41en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.department-temp[Ates, Ufuk; Bahadir, Kutay; Altinorgu, Erdem; Firat, Selin; Cakmak, Murat] Ankara Univ, Fac Med, Dept Pediat Surg, TR-06100 Ankara, Turkiye; [Evin, Ege] Kirikkale Yuksek Ihtisas Hosp, Dept Pediat Surg, Kirikkale Merkez, Ahmet Ay Caddesi, TR-71300 Kirikkale, Turkiye; [Yuksel, Mustafa] Demiroglu Bilim Univ, Sch Med, Dept Thorac Surg, Buyukdere Cd 120, TR-34394 Istanbul, Turkiyeen_US
dc.identifier.pmid40982104en_US
dc.identifier.scopus2-s2.0-105016768449en_US
dc.identifier.wosWOS:001577276200001en_US
dc.identifier.wosqualityQ2en_US
dc.identifier.scopusqualityQ2en_US
dc.snmzKA_WOS_20251006
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US


Bu öğenin dosyaları:

DosyalarBoyutBiçimGöster

Bu öğe ile ilişkili dosya yok.

Bu öğe aşağıdaki koleksiyon(lar)da görünmektedir.

Basit öğe kaydını göster