title: New minimally invasive technique for correction of pectus carinatum.
abstract: We describe a new video-assisted operative technique for correction of pectus carinatum (PC) using a modified Nuss procedure. A new design of the steel bar was developed, so that it could be introduced and placed in a suitable position through very small skin incisions. Substantial modifications were introduced in the bar length and shape aimed at facilitating insertion and subsequent removal when required. All the surgical manoeuvres took place under direct vision using a 30° thoracoscope. Single unilateral fixation of the bar in a subpectoral pocket provided satisfactory stabilisation without the need for lateral stabilisers. Adequate correction of the deformity was achieved with minor postoperative scars. Our results support the view that minimally invasive surgical repair should be preferred over open surgery for correction of pectus carinatum in young adults and children.
authors.affiliation: Thoracic Surgery Service, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Avda, Marítima del Sur, CP 35016 Spain.
authors.forename: David
authors.initials: D
authors.lastname: Pérez
authors.forename: Jose Ramón
authors.initials: JR
authors.lastname: Cano
authors.forename: Santiago
authors.initials: S
authors.lastname: Quevedo
authors.forename: Luis
authors.initials: L
authors.lastname: López
mesh_terms: D000293:Adolescent; D001848:Bone Diseases, Developmental / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D019736:Prostheses and Implants; D013249:Sternum / Q000002:abnormalities* / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods; D055815:Young Adult