Nuss procedure without videothoracoscopy

Serdar Evman

doi:10.5606/tgkdc.dergisi.2021.21092

Serdar Evman¹, Onur Derdiyok¹, Volkan Baysungur¹

¹Department of Thoracic Surgery, University of Health Sciences, Süreyyapaşa Chest Diseases and Thoracic Surgery, Training and Research Hospital, Istanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2021.21092

Minimally invasive repair of pectus excavatum (Nuss) operation is the current choice of surgical treatment for pectus excavatum deformities. Technical pitfalls arise in patients with previous thoracic and/or cardiac surgical interventions, due to severe intrathoracic fibrous adhesions. Herein, we describe an original modification technique in a patient with bilateral apical wedge resection and total pleurectomy due to recurrent spontaneous pneumothorax episodes within the past two years. Correction was performed by opening the pleura bilaterally and retrosternal release with digital palpation via a subxiphoid incision, to help to guide the introducer and the pectus bar, without a videothoracoscopic visualization.

Keywords : Chest wall, minimally invasive surgery, pectus excavatum

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