Pectus tunneloscopy: making Nuss procedure for pectus excavatum safe

OBJECTIVES The Nuss procedure for pectus excavatum involves the risk of cardiac injury during the creation of the retrosternal tunnel and during bar introduction or removal across the tunnel. A modified novel real-time technique for the safe introduction of the Nuss bar across the crucial retrostern...

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Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2013-08, Vol.17 (2), p.233-236
Main Author: Darlong, Laleng M.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Child
Child, Preschool
Endoscopy - adverse effects
Female
Funnel Chest - surgery
Heart Injuries - etiology
Heart Injuries - prevention & control
Humans
Male
New Ideas
Orthopedic Procedures - adverse effects
Orthopedic Procedures - methods
Thoracoscopy
Treatment Outcome
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Summary:OBJECTIVES The Nuss procedure for pectus excavatum involves the risk of cardiac injury during the creation of the retrosternal tunnel and during bar introduction or removal across the tunnel. A modified novel real-time technique for the safe introduction of the Nuss bar across the crucial retrosternal tunnel blind spot during introduction and removal is described. METHODS In 2012, we devised a technique for real-time endovision-guided introduction of the Nuss bar called pectus tunneloscopy. Between February 2012 and December 2012, 6 patients with pectus excavatum had their bar introduced across the tunnel using this technique. RESULTS This technique provided safe introduction and removal of the bar during the multiple times the bar is remodelled before final fixation. CONCLUSIONS Pectus tunneloscopy is a real-time endovision surgical technique, providing safe introduction of the bar across the crucial retrosternal tunnel blind spot.
ISSN:1569-9293
1569-9285
DOI:10.1093/icvts/ivt206