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Issue: Vol. 56
Section: Research Article
DOI: 10.47972/vjcts.v56i.1801
Date Published: 31/07/2026
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Downloads 34
How to Cite
Dao, T. P., Tran, M. B. L., & Nguyen, H. N. (2026). Patient satisfaction after sandwiched double-bar repair for pectus excavatum. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 56, 125 - 132. https://doi.org/10.47972/vjcts.v56i.1801

Patient satisfaction after sandwiched double-bar repair for pectus excavatum

Thuy Phuong Dao1,2, Minh Bao Luan Tran1,3, , Hoai Nam Nguyen2,4
1 University Medical Center Ho Chi Minh City
2 School of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City
3 University of Medicine and Pharmacy at Ho Chi Minh City
4 Minh Anh International Hospital

Main Article Content

Abstract

Background: Pectus excavatum may affect body appearance, psychosocial well-being, and quality of life. Data on patient satisfaction after double-bar repair in Vietnam remain limited.


Objective: To evaluate satisfaction with quality of life after sandwiched double-bar repair for pectus excavatum and identify associated factors.


Methods: This analytical cross-sectional study combined retrospective medical record review with postoperative patient interviews. A total of 111 patients with congenital pectus excavatum who underwent sandwiched double-bar repair at the University Medical Center Ho Chi Minh City from November 2022 to November 2024 were included. Satisfaction with quality of life was assessed using the Single Step Questionnaire (SSQ) 6 months after surgery. Fisher’s exact test was used to analyze factors associated with satisfaction.


Results: The overall satisfaction score was 3.77 ± 0.24, and the overall satisfaction rate was 87.4% (97/111). The highest satisfaction rate was observed in the social domain (86.5%), followed by psychological well-being (80.2%), cosmetic appearance (73.9%), physical function (66.7%), and body perception (60.4%). Early and late postoperative complications were significantly associated with satisfaction after surgery (p<0.001 and p=0.012, respectively).


Conclusion: sandwiched double-bar repair for pectus excavatum achieved a high level of satisfaction with quality of life. Prevention of complications, pain control, and management of discomfort related to the implanted bars should be emphasized to improve postoperative patient experience.

Keywords

pectus excavatum, sandwiched double-bar repair, quality of life, satisfaction

Article Details

References

1. Kelly RE. Pectus excavatum: historical background, clinical picture, preoperative evaluation and criteria for operation. Seminars in Pediatric Surgery. 2008;17(3):181-93. doi:https://doi.org/10.1053/j.sempedsurg.2008.03.002.
2. Abid I, Ewais MM, Marranca J, Jaroszewski DE. Pectus Excavatum: A Review of Diagnosis and Current Treatment Options. Journal of Osteopathic Medicine. 2017;117(2):106-13. doi:doi:10.7556/jaoa.2017.021.
3. Nuss D, Kelly RE, Jr., Croitoru DP, Katz ME. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. Journal of Pediatric Surgery. 1998;33(4):545-52. doi:10.1016/S0022-3468(98)90314-1.
4. Nuss D, Kelly RE, Jr. Indications and Technique of Nuss Procedure for Pectus Excavatum. Thoracic Surgery Clinics. 2010;20(4):583-97. doi:10.1016/j.thorsurg.2010.07.002.
5. Skrzypczak PJ, Rozmiarek M, Dobiecki T, Sielewicz M, Suchodolski M, Roszak M et al. A large single-center propensity score-matched cohort study on outcomes and complications based on the number of corrective bars used in the Nuss procedure. Scientific Reports. 2024;14(1):28285. doi:10.1038/s41598-024-79562-1.
6. Woo W, Moon DH, Lee J, Kim BJ, Lee S. Double-bar technique for the correction of asymmetric pectus excavatum. J Thorac Dis. 2024;16(7):4350-8. doi:10.21037/jtd-23-1650.
7. Coughlin AC, Ahsanuddin S, Inglesby D, Fox C, Xu H, Margulies I et al. “When to Nuss? patient age as a risk factor for complications of minimally invasive repair of pectus excavatum: a systematic review and meta-analysis”. Pediatric Surgery International. 2022;38(3):365-75. doi:10.1007/s00383-021-05049-z.
8. Franssen CJ, Daemen JHT, van Roozendaal LM, van Polen EJ, Michels IL, Franssen AJPM et al. Evaluating the cumulative complication risk of the surgical treatment trajectory of pectus excavatum by the Nuss Procedure: A single-center analysis. Journal of Pediatric Surgery. 2026;61(2). doi:10.1016/j.jpedsurg.2025.162809.
9. Sacco Casamassima MG, Gause C, Goldstein SD, Karim O, Swarup A, McIltrot K et al. Patient Satisfaction After Minimally Invasive Repair of Pectus Excavatum in Adults: Long-Term Results of Nuss Procedure in Adults. The Annals of Thoracic Surgery. 2016;101(4):1338-45. doi:10.1016/j.athoracsur.2015.09.102.
10. Krasopoulos G, Dusmet M, Ladas G, Goldstraw P. Nuss procedure improves the quality of life in young male adults with pectus excavatum deformity. Eur J Cardiothorac Surg. 2006;29(1):1-5. doi:10.1016/j.ejcts.2005.09.018.
11. Viggiano D, Bongiolatti S, Borgianni S, Lo Piccolo R, Voltolini L, Gonfiotti A. Nuss Technique for Pectus Excavatum in Adult Patients: Cosmetic Satisfaction and Improvement of Quality of Life in a Single-Center Experience. Front Surg. 2022;9:903791. doi:10.3389/fsurg.2022.903791.
12. Mohamed JS, Tan JW, Tam JKC. Quality of life with minimally invasive repair of pectus excavatum: a systematic review and meta-analysis. Annals of translational medicine. 2023;11(12):407. doi:10.21037/atm-23-1647.
13. Norlander L, Sundqvist AS, Anderzén-Carlsson A, Dreifaldt M, Andreasson J, Vidlund M. Health-related quality of life after Nuss procedure for pectus excavatum: a cross-sectional study. Interact Cardiovasc Thorac Surg. 2022;35(1). doi:10.1093/icvts/ivac031.
14. Zuidema WP, van der Steeg AFW, van der Heide S, Zijp GW, van Baren R, Oosterhuis JWA et al. The Outcome of the Single Step Questionnaire in Pectus Excavatum Patients is Phase Dependent. Eur J Pediatr Surg. 2020;30(2):205-9. doi:10.1055/s-0039-1681025.

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