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Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

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Should the pectus bar be removed before pregnancy? Two case reports.

P-K Chang¹, S-C Lee, T-W Huang

¹Division of Thoracic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.

The Thoracic and Cardiovascular Surgeon

|January 19, 2011

Summary

The Nuss procedure for pectus excavatum can be safely maintained during pregnancy. Two women with pectus bars successfully delivered healthy babies, suggesting bar removal may not be necessary before conception.

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Area of Science:

Thoracic Surgery
Pediatric Surgery
Obstetrics and Gynecology

Background:

The Nuss procedure is a common minimally invasive surgical repair for pectus excavatum.
The optimal management of the Nuss bar during pregnancy remains unclear.
Pectus excavatum repair aims to correct chest wall deformities.

Observation:

Two adult female patients with pectus excavatum underwent the Nuss procedure.
These patients later became pregnant without prior removal of the Nuss bar.
Pregnancy and delivery occurred with the stainless steel bar in situ.

Findings:

Both patients successfully carried pregnancies to term.
Both patients delivered healthy infants.
No Nuss bar-related complications were reported during pregnancy or delivery.

Implications:

The findings suggest that Nuss bar removal may not be mandatory before pregnancy.
This could simplify management for women of childbearing age who have had pectus excavatum repair.
Further studies are warranted to confirm the safety and efficacy of maintaining the Nuss bar during pregnancy.