Pectus tunneloscopy: making Nuss procedure for pectus excavatum safe.

ABSTRACT:

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.

SUBMITTER: Darlong LM 

PROVIDER: S-EPMC3715197 | biostudies-literature | 2013 Aug

REPOSITORIES: biostudies-literature