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10.5606/tgkdc.dergisi.2021.21092
Nuss procedure without videothoracoscopy
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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