title: Pectus tunneloscopy: making Nuss procedure for pectus excavatum safe.
abstract: OBJECTIVE
  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.
authors: Department of Thoracic Surgery and Thoracic Oncology, Chest Wall Deformity Clinic, Fortis Hospital, Noida, Delhi NCR, India. lmdarlong@gmail.com
authors: Laleng M
authors: LM
authors: Darlong
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004724:Endoscopy / Q000009:adverse effects; D005260:Female; D005660:Funnel Chest / Q000601:surgery*; D006335:Heart Injuries / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000009:adverse effects / Q000379:methods*; D013906:Thoracoscopy; D016896:Treatment Outcome
keywords: Blind spot; Nuss procedure; Pectus excavatum; Pectus tunneloscopy; Redo Nuss; Retrosternal tunnel
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