Related Experiment Video

Updated: Aug 7, 2025

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
05:50

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

13.7K

The management of pectus excavatum in pediatric patients: a narrative review

P Nina Scalise1, Farokh R Demehri1

  • 1Department of Surgery, Boston Children's Hospital, Boston, MA, USA.

Translational Pediatrics
|March 9, 2023
PubMed

Insights

This review outlines current pediatric pectus excavatum management, including surgical and non-surgical options. Emerging trends like 3D scanning and vacuum bell therapy offer less invasive approaches for this common chest wall anomaly.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Congenital Anomalies

Background:

  • Pectus excavatum is the most common congenital chest wall anomaly.
  • Characterized by a caved-in appearance of the anterior chest.
  • Variability exists in current management strategies.

Purpose of the Study:

  • To outline current practices for pediatric pectus excavatum care.
  • To present emerging trends impacting patient management.
  • To provide a comprehensive overview of contemporary treatment principles.

Main Methods:

  • Literature search of PubMed database (2000-2022 emphasized).
  • Keywords included: pectus excavatum, pediatric, management, MIRPE, surgery, vacuum bell.
  • Inclusion of historically relevant older literature.

Main Results:

  • Highlights contemporary management: preoperative evaluation, surgical/non-surgical treatment, postoperative care, and monitoring.
  • Discusses controversial areas: physiologic effects and optimal surgical approach.
  • Features updated non-invasive methods: 3D scanning and vacuum bell therapy.

Conclusions:

  • Pectus excavatum management involves diverse approaches.
  • Future research is needed for controversial aspects.
  • Non-invasive techniques may reduce radiation and invasiveness.
Abstract

Keywords:
Nuss procedurePectus excavatumminimally invasive repair of pectus excavatum (MIRPE)vacuum bell

More Related Videos

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling15:11

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

63.8K
Surgical Management of Meatal Stenosis with Meatoplasty04:53

Surgical Management of Meatal Stenosis with Meatoplasty

Published on: November 30, 2010

52.8K

Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
239
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
220
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
29
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
129
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
111
Pleural Effusion II: Symptoms and Management01:28

Pleural Effusion II: Symptoms and Management

Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
230