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Modification of the Nuss procedure: the crossed bar technique for new subtypes of pectus excavatum
Nezih Onur Ermerak1, Mustafa Yuksel2
1Department of Thoracic Surgery, Marmara University School of Medicine, Istanbul, Turkey. onur.ermerak@marmara.edu.tr.
Background:
We aim to describe four new subtypes of PE in detail and represent modification of the Nuss procedure called crossed bar technique for their optimum correction with good results.
Methods:
101 patients who underwent crossed bar technique between August 2005 and February 2022 were included into the study.
Results:
The mean age of the patient series was 21.1 (range 15-38 years) years. Mean Haller index was 3.87. Mean operation duration was 86.84 min. 2 bars were used in 74 (73.3%) of the patients whereas 3 bars were preferred in 27 (26.7%) of them. Mean hospital stay was 4.1 (2-8) days, and all the patients were seen routinely on postoperative follow-up at 1st, 6th, and 18th months. Quality of life questionnaires revealed satisfaction.
Conclusions:
Cross bar technique yields satisfactory results for these new subtypes and can be performed safely with good results in these selected group of patients.
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