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Muff JL, Guglielmetti LC, Gros SJ, Buchmüller L, Frongia G, Haecker FM, Holland-Cunz SG, de Trey T, Vuille-dit-Bille RN. Correction to: Failed preoperative vacuum bell therapy does not affect outcomes following minimally invasive repair of pectus excavatum. Pediatr Surg Int 2022; 38:779. [PMID: 35235017 PMCID: PMC8983503 DOI: 10.1007/s00383-022-05087-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/05/2022]
Affiliation(s)
- J. L. Muff
- grid.412347.70000 0004 0509 0981Department of Pediatric Surgery, University Children’s Hospital of Basel, Spitalstrasse 33, 4056 Basel, Switzerland
| | - L. C. Guglielmetti
- grid.452288.10000 0001 0697 1703Department of Visceral and Thoracic Surgery, Cantonal Hospital of Winterthur, Winterthur, Switzerland
| | - S. J. Gros
- grid.412347.70000 0004 0509 0981Department of Pediatric Surgery, University Children’s Hospital of Basel, Spitalstrasse 33, 4056 Basel, Switzerland
| | - L. Buchmüller
- grid.412347.70000 0004 0509 0981Department of Pediatric Surgery, University Children’s Hospital of Basel, Spitalstrasse 33, 4056 Basel, Switzerland
| | - G. Frongia
- grid.5253.10000 0001 0328 4908Division of Pediatric Surgery, Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Heidelberg, Germany
| | - F.-M. Haecker
- grid.414079.f0000 0004 0568 6320Department of Pediatric Surgery, Children’s Hospital of Eastern Switzerland, St. Gallen, Claudiusstrasse 6, 9006 St. Gallen, Switzerland ,grid.6612.30000 0004 1937 0642Faculty of Medicine, University of Basel, 4056 Basel, Switzerland
| | - S. G. Holland-Cunz
- grid.412347.70000 0004 0509 0981Department of Pediatric Surgery, University Children’s Hospital of Basel, Spitalstrasse 33, 4056 Basel, Switzerland
| | - T. de Trey
- grid.412347.70000 0004 0509 0981Department of Pediatric Surgery, University Children’s Hospital of Basel, Spitalstrasse 33, 4056 Basel, Switzerland
| | - Raphael N. Vuille-dit-Bille
- grid.412347.70000 0004 0509 0981Department of Pediatric Surgery, University Children’s Hospital of Basel, Spitalstrasse 33, 4056 Basel, Switzerland
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Muff JL, Guglielmetti LC, Gros SJ, Buchmüller L, Frongia G, Haecker FM, Holland-Cunz SG, de Trey T, Vuille-Dit-Bille RN. Failed preoperative vacuum bell therapy does not affect outcomes following minimally invasive repair of pectus excavatum. Pediatr Surg Int 2021; 37:1429-1435. [PMID: 34272597 PMCID: PMC8408062 DOI: 10.1007/s00383-021-04963-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/02/2021] [Indexed: 11/06/2022]
Abstract
PURPOSE It is unknown if failed preoperative vacuum bell (VB) treatment in patients undergoing minimally invasive repair of pectus excavatum (MIRPE), delays repair and/or affects postoperative outcomes. METHODS A retrospective data analysis including all consecutive patients treated at one single institution undergoing MIRPE was performed between 2000 and 2016. Patients were stratified into preoperative VB therapy versus no previous VB therapy. RESULTS In total, 127 patients were included. Twenty-seven (21.3%) patients had preoperative VB treatment for 17 months (median, IQR 8-34). All 27 patients stopped VB treatment due to the lack of treatment effect. Eight (47.1%) of 17 assessed VB patients showed signs of skin irritation or hematoma. VB treatment had no effect on length of hospital stay (p = 0.385), postoperative complications (p = 1.0), bar dislocations (p = 1.0), and duration of bar treatment (p = 0.174). Time spent in intensive care unit was shorter in patients with VB therapy (p = 0.007). Long-term perception of treatment including rating of primary operation (p = 0.113), pain during primary operation (p = 0.838), own perspective of look of chest (p = 0.545), satisfaction with the procedure (p = 0.409), and intention of doing surgery again (p = 1.0) were not different between groups. CONCLUSIONS Failed preoperative VB therapy had no or minimal effect on short-term outcomes and long-term perceptions following MIRPE.
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Affiliation(s)
- J L Muff
- Department of Pediatric Surgery, University Children's Hospital of Basel, Spitalstrasse 33, 4056, Basel, Switzerland
| | - L C Guglielmetti
- Department of Visceral and Thoracic Surgery, Cantonal Hospital of Winterthur, Winterthur, Switzerland
| | - S J Gros
- Department of Pediatric Surgery, University Children's Hospital of Basel, Spitalstrasse 33, 4056, Basel, Switzerland
| | - L Buchmüller
- Department of Pediatric Surgery, University Children's Hospital of Basel, Spitalstrasse 33, 4056, Basel, Switzerland
| | - G Frongia
- Division of Pediatric Surgery, Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Heidelberg, Germany
| | - F -M Haecker
- Department of Pediatric Surgery, Children's Hospital of Eastern Switzerland, St.Gallen, Claudiusstrasse 6, CH-9006, St.Gallen, Switzerland.,Faculty of Medicine, University of Basel, 4056, Basel, Switzerland
| | - S G Holland-Cunz
- Department of Pediatric Surgery, University Children's Hospital of Basel, Spitalstrasse 33, 4056, Basel, Switzerland
| | - T de Trey
- Department of Pediatric Surgery, University Children's Hospital of Basel, Spitalstrasse 33, 4056, Basel, Switzerland
| | - Raphael N Vuille-Dit-Bille
- Department of Pediatric Surgery, University Children's Hospital of Basel, Spitalstrasse 33, 4056, Basel, Switzerland.
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Bauer J, Buchmüller L, Reuber M, Burr W. Which patients become seizure free with antiepileptic drugs? An observational study in 821 patients with epilepsy. Acta Neurol Scand 2008; 117:55-9. [PMID: 17961196 DOI: 10.1111/j.1600-0404.2007.00940.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVES Analysis of factors influencing seizure outcome in antiepileptic drug treatment of epilepsy. PATIENTS AND METHODS Retrospective analysis of 500 patients with complete seizure control and 321 patients with refractory epilepsy (mean ages 33.3 and 32.1 years respectively). RESULTS The seizure-free group consisted of 377 patients with symptomatic/cryptogenic epilepsy (SCE; mean seizure control 45 months) and 123 patients with idiopathic generalized epilepsy (IGE; mean seizure control 61 months) (P = 0.02). Of the patients with SCE, 35.7% had achieved seizure control with monotherapy (MT), 29.6% with >or=2 AEDs. No single AED was superior in MT. Of the patients with IGE, 35.9% had become seizure free with MT, 15.6% on combination therapy (CT). Valproate MT was more commonly associated with seizure freedom than lamotrigine (P < 0.05). CONCLUSIONS The results indicate that, in SCE, seizures can be controlled with carefully selected CT more commonly than suggested by previous studies. The seizure prognosis of patients with IGE presenting to a specialist in epilepsy may be worse than previously thought.
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Affiliation(s)
- J Bauer
- Department of Epileptology, University of Bonn, Germany.
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