Results of pectus excavatum correction using a minimally invasive approach with subxyphoid incision and three-point fixation.

Abstract:

OBJECTIVES:This study reviews the results of our previously described modification of the minimally invasive (Nuss) procedure for correction of pectus excavatum. It utilizes a subxyphoid incision with central fixation to maximize safe bar passage and minimize bar displacement. METHODS:Consecutive patients corrected with the modified Nuss procedure between 2010 and 2015 form the basis of this study. RESULTS:During the study period, 73 patients had correction of their pectus excavatum by the modified Nuss procedure, utilizing subxyphoid incision and central fixation. Average age was 14.3 (range 8-19). 54 patients were male, 19 female. The average Haller index was 4.3 (range 3.2-7.2). No episodes of cardiac perforation, hemothorax or significant pneumothorax were recorded. Bar displacement occurred in two patients (2.7%) with one late recurrence after bar removal. CONCLUSIONS:Our modification of the Nuss procedure is effective at preventing intrathoracic complications and cardiac perforation. Central fixation had a lower rate of bar displacement compared to published reports. Additional efforts are needed to further reduce bar displacement.

journal_name

Pediatr Surg Int

authors

Bond SJ,Rapstine E,Bond JM

doi

10.1007/s00383-017-4195-z

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

75-78

issue

1

eissn

0179-0358

issn

1437-9813

pii

10.1007/s00383-017-4195-z

journal_volume

34

pub_type

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