New Berlin-Buch “Reversed Nuss,” Endoscopic Pectus Carinatum Repair Using Eight-Hole Stabilizers, Submuscular CO₂, and Presternal Nuss Bar Compression: First Results in 35 Patients

Abstract

Although this is a very early experience, "reversed Nuss" is safe and effective and new technical improvements have expanded the range of applicability to older patients and suitable redos.

Pectus carinatum treatment in Canada: current practices

“…In the last few years, a plethora of procedures using minimal access techniques for PC correction have been published [14][15][16][17][18][19][20]. These procedures, now popularly known as the "Abramson" or "reverse Nuss" procedures, are associated with unclear indications, have shown variable results, and are simply too new to judge [14][15][16][17][18][19][20].…”

“…These procedures, now popularly known as the "Abramson" or "reverse Nuss" procedures, are associated with unclear indications, have shown variable results, and are simply too new to judge [14][15][16][17][18][19][20]. Many of their technical details are still being worked out.…”

Finite element analysis ofpectus carinatumsurgical correction via a minimally invasive approach

“…It is agreed by physicians that, for the PC/PE correction through the MIS approach, the corrective bar must be placed, respectively, above/below the sternum's most prominent region (Schaarschmidt et al 2011;Yiiksel et al 2011). Thus, the relation between the corrective bar positioning along the sternum and the distribution of the stresses generated on the ribs' backend was investigated.…”

“…Only more recently, a MIS approach for PC has been investigated (Abramson et al 2009;Schaarschmidt et al 2011;Yiiksel et al 2011) based on the Nuss technique, on which the corrective bar is placed under the skin and on top of the sternum highest protrusion point for its continuous compression, and fixed on both sides of the chest wall.…”

Chest Wall Deformities: An Overview on Classification and Surgical Options

“…-Mini-invasive submuscular dissection (Schaarschmidt et al, 2006): the pectoralis muscle dissection is performed by subpectoral CO2 insufflation, the resection of the ribs, the sternal osteotomy and the insertion of trans-sternal steel struts are performed through a vertical pre-sternal incision under endoscopic view. Recently, the same Authors reported some technical variations (Schaarschmidt et al, 2011), abandoning the presternal incision and performing a more extense submuscular dissection and two lateral incisions between the anterior and middle axillary lines. These should allow the creation of a submuscular and presternal tunnel in order to implant a Nuss metal bar presternally.…”