ISSN: 1859 - 2872
Assessment of treatment outcomes of severe congenital pectus excavatum using double-bar surgical technique
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Abstract
Congenital pectus excavatum is the most common chest wall deformity among all congenital chest wall anomalies and may cause serious consequences in respiratory and circulatory function as well as psychological distress in affected patients. Objective: To evaluate the outcomes of double-bar surgical repair in the treatment of severe congenital pectus excavatum. Subjetc and method: A retrospective descriptive case-series study was conducted on 158 patients with a Haller index greater than 3.5 or with complex asymmetric pectus excavatum who underwent double-bar surgical correction at the University Medical Center Ho Chi Minh City from 2017 to 2025. Result: Male patients accounted for the majority (79.1%), with a mean age of 16.7 ± 5.32 years. The mean preoperative Haller index was 4.3 ± 1.9. The rate of using two pairs of bars was 29.7%. Early postoperative complications were low, including pneumothorax (3.2%) and surgical site infection (1.9%), and the rate of bar displacement was 0%. The postoperative Haller index decreased to 2.46 ± 0.32. Clinical outcomes at 3 months and 6 months were rated as good or excellent in 98.1% and 97.1% of patients, respectively. Conclusion: The study shows that double-bar surgical repair is a safe and effective method that provides high aesthetic outcomes for patients with severe and complex pectus excavatum.
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References
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