Abstract
Although the Nuss procedure for pectus excavatum has been widely employed, a variety of complications have been reported. The most dangerous complication is cardiac injury from the insertion of the introducer. To eliminate these complications, we present a sternum elevating technique using a Kent retractor and a lifting hook.
Similar content being viewed by others
References
Dean C, Etienne D, Hindson D, Matusz P, Tubbs RS, Loukas M (2012) Pectus excavatum (funnel chest): a historical and current prospective. Surg Radiol Anat 34:573–579
Nasr A, Fecteau A, Wales PW (2010) Comparison of the Nuss and the Ravitch procedure for pectus excavatum repair: a meta-analysis. J Pediatr Surg 45:880–886
Nuss D, Kelly RE Jr, Croitoru DP, Katz ME (1998) A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg 33:545–552
Hebra A, Swoveland B, Egbert M, Tagge EP, Georgeson K, Othersen HB, Nuss D (2000) Outcome analysis of minimally invasive repair of pectus excavatum: review of 251 cases. J Pediatr Surg 35:252–257
Moss RL, Albanese CT, Reynolds M (2001) Major complications after minimally invasive repair of pectus excavatum: case reports. J Pediatr Surg 36:155–158
Hebra A, Gauderer MWL, Tagge EP, Adamson WT, Othersen HB (2001) A simple technique for preventing bar displacement with the Nuss repair of pectus excavatum. J Pediatr Surg 29:1266–1268
Johnson WR, Fedor D, Singhal S (2013) A novel approach to eliminate cardiac perforation in the Nuss procedure. Ann Thorac Surg 95:1109–1111
Park HJ, Jeong JY, Jo WM, Shin JS, Lee IS, Kim KT, Choi YH (2010) Minimally invasive repair of pectus excavatum: a novel morphology-tailored, patient-specific approach. J Thorac Cardiovasc Surg 139:379–386
Kim D, Idowu O, Palmer B, Kim S (2014) Anterior chest wall elevation using a T-fastener suture technique during a Nuss procedure. Ann Thorac Surg 98:734–736
Takagi S, Oyama T, Nishihara T, Kinoshita K, Makino T, Ohjimi H (2012) A new sternum elevator reduces severe complications during minimally invasive repair of the pectus excavatum. Pediatr Surg lnt 28:623–626
Tedde ML, Campos JRM, Wihlm JM, Jatene FB (2012) The Nuss procedure made safer: an effective and simple sternal elevation manoeuvre. Eur J Cardiothorac Surg 42:890–891
Yoshida A, Uemura S, Yamamoto M, Nouso H, Kuyama H, Muta Y (2013) Correlation of asymmetric chest wall deformity and growth in patients with pectus excavatum. J Pediatr Surg 48:771–775
Castellani C, Schalamon J, Saxena AK, Hoellwarth ME (2008) Early complications of the Nuss procedure for the pectus excavatum: a prospective study. Pediatr Surg Int 24:659–666
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Takahashi, T., Okazaki, T., Yamataka, A. et al. Usefulness of Kent retractor and lifting hook for Nuss procedure. Pediatr Surg Int 31, 1103–1105 (2015). https://doi.org/10.1007/s00383-015-3764-2
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00383-015-3764-2