New Endoscopic Minimal Access Pectus Carinatum Repair Using Subpectoral Carbon Dioxide

Minimally invasive thoracoscopic repair of unilateral pectus carinatum

“…This subcutaneous endoscopic technique involved prolonged operative time and multiple stab incisions. Schaarschmidt et al [5] then reported endoscopic minimal access pectus carinatum repair using subpectoral carbon dioxide insufflation. With subpectoral carbon dioxide insufflation, the length of operative time and cosmesis were improved by creating better visualization of ribs.…”

“…It also involves wearing a binder to maintain compression of the chest. Although the technique of Schaarschmidt et al [5] is not limited to unilateral pectus carinatum, a small midsternal incision has to be made for sternotomy and transternal strut application. The correction of a bilateral pectus carinatum with minor sternal involvement may be possible with this technique using bilateral thoracoscopy.…”

Minimal access treatment of pectus carinatum: a preliminary report

“…Whereas recently there are orthopaedic, remodelling procedures available for correcting the PC [5][6][7], the most widely accepted treatment modality is still surgical. Despite recently introduced thoracoscopic approaches [8] and the wide range, technical modifications of the original Ravitch procedure for PC [3,4,, presently the essential steps of the surgical treatment of PC are still the same. These include anterior chest wall incision, resection of the deformed costal cartilages and sternal osteotomy.…”

Chest-deformities: a proposal for a classification

“…[13][14][15][16][17][18] To evaluate the significance of such classification in chest-deformities, we compared postoperative results in patients of the same age, gender and surgical techniques used with those without use of this classification. Thus complications and extraordinary courses related to the surgical technique could be excluded (Table 2).…”