Metal Hypersensitivity after Nuss Procedure: What and When to do?

IF 1.4 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Thoracic and Cardiovascular Surgeon Pub Date : 2025-12-01 Epub Date: 2025-03-07 DOI:10.1055/a-2552-5825
Serdar Evman, Mustafa Akyıl, Serkan Bayram, Volkan Baysungur
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引用次数: 0

Abstract

Metal hypersensitivity after Nuss procedure is a known complication, but there is no accepted treatment guideline available. Patients undergoing Nuss procedure between 2013 and 2023 were examined retrospectively. Patients with known allergy, positive blood, and/or culture tests, and redo cases were excluded. Nine of 307 (2.9%) patients developed postoperative allergy. No significant difference was found between single or double bar patients. All were treated with medical protocol. No premature bar removal was necessitated. Medical treatment was successful in postoperative metal allergy after Nuss procedure. Ruling out other causes like surgical technical problems or infections is necessary for correct diagnosis and accurate treatment.

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纳斯手术后金属过敏:什么时候做?
背景:Nuss手术后金属过敏是一种已知的并发症,但目前尚无公认的治疗指南。方法:回顾性分析2013-2023年间接受Nuss手术的患者。已知过敏、血液和/或培养试验阳性的患者和重复病例被排除在外。结果:307例患者中有9例(2.9%)发生术后过敏。单杆与双杆患者间无显著差异。所有人都接受了医学治疗。不需要过早地移除棒材。结论:Nuss手术后金属过敏治疗成功。排除手术技术问题或感染等其他原因是正确诊断和准确治疗的必要条件。
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来源期刊
CiteScore
3.40
自引率
6.70%
发文量
365
审稿时长
3 months
期刊介绍: The Thoracic and Cardiovascular Surgeon publishes articles of the highest standard from internationally recognized thoracic and cardiovascular surgeons, cardiologists, anesthesiologists, physiologists, and pathologists. This journal is an essential resource for anyone working in this field. Original articles, short communications, reviews and important meeting announcements keep you abreast of key clinical advances, as well as providing the theoretical background of cardiovascular and thoracic surgery. Case reports are published in our Open Access companion journal The Thoracic and Cardiovascular Surgeon Reports.
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