Quality of life outcomes after minimally invasive repair of pectus excavatum utilizing a new set of metallic bars and stabilizers

Autor(es)

Costa de Carvalho, Rafael Lucas ^[1] ; Tedde, Miguel Lia ^{[1, 2]} ; Milanese de Campos, Jose Ribas ^[1] ; Hamilton, Niura Noro ^{[1, 2]} ; Guilherme, Gustavo Falavigna ^[1] ; Sousa, Vanessa Moreira ^[1] ; Salomao Junior, Vitor Floriano ^[1] ; Savazzi, Flavio Henrique ^[1] ; Pego-Fernandes, Paulo Manuel ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Heart Inst InCor, R Dr Eneas de Carvalho Aguiar 44, BR-05403000 Sao Paulo - Brazil

^[2] Hosp Alemao Oswaldo Cruz, R Treze de Maio 1815, BR-01327001 Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: JOURNAL OF PEDIATRIC SURGERY; v. 56, n. 3, p. 545-549, MAR 2021.
• Citações Web of Science: 0

Resumo

Background/Purpose: The aim of the study was to evaluate the postoperative quality of life (QoL) of patients who underwent minimally invasive repair of pectus excavatum (MIRPE) with a newly designed bar and bar stabilizers. Methods: We conducted a prospective randomized study in which patients were operated either with standard perpendicular stabilizers (control group) or with the newly designed oblique stabilizers (intervention group). All patients were evaluated 6 months after the operation with the Pectus Excavatum Evaluation Questionnaire (PEEQ). Results: There were 16 patients in the control group and 14 in the intervention group. Mean age was 17 (SD: 3.3, range 14-27) years. There were no demographic differences between groups. Two patients in the control group and one in the intervention group were repaired with two bars instead of one. There was one reoperation in each group. There was a significant difference between the pre- and postoperative scores, in both groups, in the patient body image domain (control group: 9.5 to 3; p < 0.01: intervention group 10 to 3: p < 0.01), as well as in the psychosocial domain (control group: 13.5 to 24, p < 0.01: intervention group: 15 to 24, p < 0.01). With regards to the patients' perception of physical difficulties before and after MIRPE, the difference between pre- and postoperative scores was greater in the intervention group (8 to 12, p < 0.01) than in the control group (10 to 11, p = 0.04). The mean length of stay was 45 and 5 days in the intervention group and the control group, respectively. Conclusion: Our study showed that patients who underwent MIRPE with the newly designed barsand stabilizers had non-inferior outcomes than patients reported in the literature who underwent MIRPE with standard bars and stabilizers. We found slightly better outcomes in patients in the intervention group compared to the control group, but larger studies will be needed to confirm if those differences are statistically significant. (C) 2020 Elsevier Inc. All rights reserved. (AU)

• Processo FAPESP: 14/15290-7 - Avaliação de um novo modelo de estabilizador para barra metálica utilizada na correção cirúrgica minimamente invasiva de pectus excavatum
• Beneficiário: Miguel Lia Tedde
• Modalidade de apoio: Auxílio à Pesquisa - Regular