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Eur J Pediatr Surg 2010; 20(4): 217-221
DOI: 10.1055/s-0030-1254143
Review

© Georg Thieme Verlag KG Stuttgart · New York

Review of the Technical Variants in the Repair of Pectus Excavatum

C. A.  Laituri1 , C. L. Garey1 , S. D. St. Peter2
  • 1Children's Mercy Hospital and Clinics, Pediatric Surgery, Kansas City, United States
  • 2Children's Mercy Hospital, Department of Surgery, Center for Prospective Trials, Kansas City, United States
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Publication History

received January 20, 2010

accepted after revision April 05, 2010

Publication Date:
07 June 2010 (online)

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Abstract

Introduction: Many technical variations have been introduced for the surgical correction of pectus excavatum (PE). The authors reviewed the literature to provide a detailed overview of the general principles of pectus excavatum repair, bar insertion and removal techniques.

Materials and Methods: A comprehensive review of the literature was undertaken.

Results: A summary of the different approaches and techniques of pectus excavatum repair, bar insertion and removal is presented. Various procedures, their advantages and disadvantages, the techniques employed and associated complications are discussed in depth.

Conclusion: Pectus excavatum repair has undergone many changes since its first description. Despite previous descriptions of evolving procedures, comparative overviews of surgical variations, outcomes after pectus bar insertion and removal techniques are rare in the literature. The authors reviewed the literature to summarize the previous and current understanding of techniques and highlight the variations.

Key words

pectus excavatum - pectus bar - Nuss - Ravitch - subxiphoid technique

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Correspondence

Dr. Shawn David St. Peter

Children's Mercy Hospital

Department of Surgery

Center for Prospective Trials

2401

Gillham Road

MO 64108 Kansas City

United States

Phone: +1 816 983 6465

Fax: +1 816 983 6885

Email: sspeter@cmh.edu