A novel modified Nuss procedure for pectus excavatum: a new steel bar

Ann Thorac Surg. 2015 May;99(5):1788-92. doi: 10.1016/j.athoracsur.2014.12.060.

Abstract

Purpose: The purpose of this article is to introduce a new modified Nuss procedure for pectus excavatum and to describe the configuration of the new steel bar.

Description: We applied a novel method with a new steel bar for minimally invasive surgical correction of pectus excavatum. The procedure was performed with a new steel bar through bilateral thoracic minimally invasive incisions using a thoracoscope for guidance. The bar was installed or removed by pushing and pulling without turning it over.

Evaluation: One hundred forty-seven patients with pectus excavatum underwent this novel modified Nuss procedure. All patients had a satisfactory orthopedic result at discharge. There was no perioperative death or cardiac perforation. During the follow-up period, 134 patients underwent bar removal. Of the 134 cases, the initial orthopedic and functional results were excellent in 121 patients (90.3%) and good in 13 patients (9.7%). No patient had recurrence.

Conclusions: This novel modified Nuss procedure is a safe, effective, and convenient treatment for pectus excavatum.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Cohort Studies
  • Equipment Design
  • Female
  • Funnel Chest / surgery*
  • Humans
  • Internal Fixators*
  • Male
  • Stainless Steel
  • Thoracoscopy / methods*
  • Treatment Outcome
  • Young Adult

Substances

  • Stainless Steel