# Experiences and health-related quality of life following minimally invasive surgical repair for pectus excavatum – a mixed methods study

## TL;DR

This study explores how minimally invasive surgery for pectus excavatum affects patients' quality of life and personal experiences.

## Contribution

The study combines quantitative and qualitative data to provide a comprehensive view of post-surgery outcomes in pectus excavatum patients.

## Key findings

- Significant improvements in disease-specific HRQoL were observed post-MIRPE.
- Persistent chest-related issues like pain and fatigue were reported by participants.
- Qualitative themes included increased freedom and a stronger sense of self.

## Abstract

Pectus excavatum is the most common congenital chest wall deformity. Minimally invasive repair for pectus excavatum (MIRPE) has demonstrated positive and psychsocial outcomes. The aim of this study was to gain a comprehensive understanding of health-related quality of life (HRQoL) in patients undergoing MIRPE.

This prospective cohort study applied a modified mixed methods convergent design and included 19 individuals scheduled for MIRPE with follow-up 18 months postoperatively. The Nuss Questionnaire modified for Adults 10-item version (NQ-mA-10) and RAND-36 were administered pre- and postoperatively. Postoperative individual interviews explored participants’ lived experiences. Quantitative and qualitative data were integrated for a comprehensive analysis.

Significant improvements were observed in NQ-mA-10 total and subscale scores, whereas no significant changes were found in RAND-36 domains. Improvements in disease-specific HRQoL were supported by interview data. Integration of findings generated four themes: self-perceived exercise capacity, stronger sense of self, increased freedom in life and persistent chest-related issues.

Participants reported a stronger sense of self and greater freedom in life after MIRPE: However, persistent pain and fatigue highlight the need for further research and individualized postoperative care.