title: Modified Nuss procedure is a safe choice for recurrent pectus excavatum after previous open repair experience of 26 cases.
abstract: OBJECTIVE
  This study is aiming to investigate the feasibility and effect of applying modified Nuss procedure on recurrent pectus excavatum following previous open repair.
  
  
  METHODS
  By retrospectively reviewing patients of pectus excavatum enrolled in our department from July 2007 to August 2012, we find 27 cases of recurrent PE who received open repair previously. Twenty-six patients received Nuss repair, while one patient refused. Relevant data are collected and processed. A 3-month follow-up after operation is also reviewed. Analysis of data is conducted.
  
  
  RESULTS
  Twenty-six recurrent patients underwent modified Nuss procedure safely. Pneumothorax after operation occurred in one case. Pleural effusion occurred for every case, most were mild in quantity except two cases whose pleural effusion were moderate. All patients left hospital within 2 weeks after operation except one patient who died of respiration failure. Mean postoperative Haller Index is significantly different from the preoperative one. Cosmetic effect was excellent for 5 cases, good for 15 cases, moderate for 6 cases. In a 3-month follow-up, no bar displacement or rejection happened and pleural effusion was completely absorbed.
  
  
  CONCLUSIONS
  Although technically challenging, Nuss procedure is feasible and good for recurrent PE after open repair.
authors.affiliation: Department of Thoracic Surgery, General Hospital of Beijing Military Region, Dong Cheng District, Nan Men Cang 5#, Beijing 100700, People's Republic of China. lhl7777129@sina.com.cn
authors.forename: Liang Hai
authors.initials: LH
authors.lastname: Long
authors.forename: Liu Ji
authors.initials: LJ
authors.lastname: Fu
authors.forename: Zhao
authors.initials: Z
authors.lastname: Jing
authors.forename: Zhang Wei
authors.initials: ZW
authors.lastname: Qiang
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D005660:Funnel Chest / Q000601:surgery*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D013905:Thoracoplasty / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult