Abstract
Minimal Access Repair of Pectus Carinatum (MARPC) using the Istanbul technique uses two bilateral incisions in the midaxillary line. This is followed by the incision of the periosteum of two adjecent ribs on both sides for the placement of the stabilizers. The ribs are encircled using a Doyen rib periosteal elevator after which a suction catheter is placed to serve as a sheath for the steel wires. The stabilizer plates for the pectus bar are placed perpendicularly on the ribs and secured with the wires on both sides. A polyvinyl chloride tube with a trocar is passed from one incision to the other, posterior to the pectoralis major, then through the pectoralis major close to its origin near the sternum. The trocar is removed from the lumen of the tube, and the bar is inserted into it with the concavity facing posteriorly. Compressing the bar over the sternum, both edges are placed into the stabilizers and secured with metal screws on both sides.
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Acknowledgment
I would like to thank Dr Korkut Bostanci for translation of the manuscript and for correction of the English grammar.
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Yuksel, M. (2017). Minimal Access Repair of Pectus Carinatum: Istanbul Technique. In: Saxena, A. (eds) Chest Wall Deformities. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53088-7_50
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DOI: https://doi.org/10.1007/978-3-662-53088-7_50
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