A Novel Modified Nuss Procedure for Pectus Excavatum: A New Steel Bar

• Published in: The Annals of thoracic surgery Vol. 99; no. 5; pp. 1788 - 1792
• Main Authors: Li, Guoqing, MD, Jiang, Zhaolei, MD, Xiao, Haibo, MD, PhD, Wang, Mingsong, MD, Hu, Fengqing, MD, Xie, Xiao, MD, PhD, Mei, Ju, MD, PhD
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01-05-2015
• Subjects: Adolescent; Adult; Cardiothoracic Surgery; Child; Child, Preschool; Cohort Studies; Equipment Design; Female; Funnel Chest - surgery; Humans; Internal Fixators; Male; Stainless Steel; Surgery; Thoracoscopy - methods; Treatment Outcome; Young Adult; 5
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2014.12.060

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.