{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T16:12:54Z","timestamp":1783008774072,"version":"3.54.5"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2006,12,1]],"date-time":"2006-12-01T00:00:00Z","timestamp":1164931200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2007,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The aim of the study was to compare results of the Nuss procedure in adults and children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The data were collected prospectively. Antibiotic prophylaxis was used in all patients. Differences were tested statistically.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 35 adults (28\u00a0men; male\/female ratio 4:1) with a median age of 23 years (range 18 years to 47 years 1\u00a0month) were included in the study. A previous Welch operation had been performed in one (3%). The median operating time was 65\u00a0minutes (range 45\u2013105\u00a0minutes). Two bars were inserted in one patient, and stabilizers were used in all. Pneumothorax occurred in 9 (26%), wound abscess in 3 (9%), and bar slips in 5 (14%). The median hospital stay was 7\u00a0days (range 4\u201310\u00a0days). Bars were removed in 14 (40%) patients without complications. Follow\u2010up occurred 6 and 12\u00a0months after bar removed, at which times no recurrence of the pectus and no sternal protrusions were seen. In the other part of the study, 141 children and adolescents (105 boys; male\/female ratio 3:1) with a median age of 13 years (range 4 years 11\u00a0months to 17 years 8\u00a0months) were included. A previous Welch operation had been performed in five (4%). Two bars were inserted in four, and stabilizers were used in 100 (71%). The median operating time was 65\u00a0minutes (40\u2013185\u00a0minutes). Pneumothorax occurred in 33 (24%), wound abscess in 1 (0.7%), and bar slips in 18 (13%). The median hospital stay was 7\u00a0days (range 5\u201318\u00a0days). Bars were removed in 77 (55%) without complications. Follow\u2010up occurred 6 and 12\u00a0months after bar removed, and the last follow\u2010up was eventually planned at the end of growth (age 18). The pectus recurred in one patient with Marfan syndrome, and sternal protrusion occurred in one. Differences between groups were as follows: a significantly higher proportion of adult patients were treated with stabilizers (<jats:italic>P<\/jats:italic> &lt; 0.001), and there were significantly more wound abscesses in adults (<jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The Nuss procedure is as effective for correcting pectus excavatum in adults as it is in children. However, in adults the bars tended to be less stable, and wound abscesses occurred more frequently.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-005-0779-1","type":"journal-article","created":{"date-parts":[[2006,12,18]],"date-time":"2006-12-18T11:33:12Z","timestamp":1166441592000},"page":"26-29","source":"Crossref","is-referenced-by-count":43,"title":["Nuss Procedure: Pediatric Surgical Solution for Adults with Pectus Excavatum"],"prefix":"10.1002","volume":"31","author":[{"given":"Daniel C.","family":"Aronson","sequence":"first","affiliation":[{"name":"Pediatric Surgical Center of Amsterdam Emma Children\u2019s Hospital AMC, Academic Medical Center PO Box 22700 1100 Amsterdam DE The Netherlands"},{"name":"Vrije Universiteit Medical Center PO Box 7057 1007 Amsterdam MB The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Remko P.","family":"Bosgraaf","sequence":"additional","affiliation":[{"name":"Pediatric Surgical Center of Amsterdam Emma Children\u2019s Hospital AMC, Academic Medical Center PO Box 22700 1100 Amsterdam DE The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chantal","family":"van der Horst","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Academic Medical Center PO Box 22660 1100 Amsterdam DD The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seine","family":"Ekkelkamp","sequence":"additional","affiliation":[{"name":"Pediatric Surgical Center of Amsterdam Emma Children\u2019s Hospital AMC, Academic Medical Center PO Box 22700 1100 Amsterdam DE The Netherlands"},{"name":"Vrije Universiteit Medical Center PO Box 7057 1007 Amsterdam MB The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,12]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010194904000\u201000002"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20103468(98)90314\u20101"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20103468(00)90019\u20108"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102002\u201034486"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2003.11.012"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2002.30851"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11748\u2010005\u20100047\u20101"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102002\u201034485"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010002\u20106519\u2010x"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.03.070"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1072\u20107515(02)01245\u20100"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-005-0779-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-005-0779-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-005-0779-1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T11:09:52Z","timestamp":1703416192000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-005-0779-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,12]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2007,1]]}},"alternative-id":["10.1007\/s00268-005-0779-1"],"URL":"https:\/\/doi.org\/10.1007\/s00268-005-0779-1","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,12]]}}}