Surgical Correction of Pectus Excavatum by the Nuss Procedure: A 15-Year Experience Study

  • Piotr Cierpikowski
  • Adam Rzechonek
  • Piotr Błasiak
  • Hanna Lisowska
  • Grzegorz Pniewski
  • Patric Le Pivert
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 1047)


Pectus excavatum is the most common congenital deformity of the chest. The Nuss procedure is minimally invasive surgical correction of this defect, using retrosternal metal bars. The purpose of the present study was to describe a 15-year experience with the Nuss surgery, and to evaluate the long-term clinical results of the procedure. We retrospectively evaluated 239 patients, aged 14–34, who underwent the Nuss surgery in the years 2002–2016. Postoperative complications were observed in 40/236 (16.9%) patients. The most common complication was pneumothorax in 14/239 patients. Less common were the following: wound infection in 4, pleural effusion in 3, allergy to nickel in 1, lung atelectasis in 1, and ventricular failure in 1 patient. Three patients were treated because of severe postoperative pain, and in one case the implant had to be removed. Postoperative complications associated with the number of bars inserted, but not with the patient age or gender. A satisfactory and long lasting corrective effect of surgery was observed in 231/239 (96.7%) of patients. There was no perioperative mortality. We conclude that the Nuss surgery is a safe surgery that demonstrates excellent and long-lasting esthetic results, with a low risk of severe complications.


Chest wall Congenital deformity Nuss procedure Pectus excavatum Pneumothorax Postoperative complications 



This study was supported by the statutory budget of Wroclaw Medical University in Poland

Conflict of Interest

The authors declare no conflicts of interest in relation to this article.


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Copyright information

© Springer International Publishing AG  2018

Authors and Affiliations

  • Piotr Cierpikowski
    • 1
  • Adam Rzechonek
    • 1
  • Piotr Błasiak
    • 1
  • Hanna Lisowska
    • 2
  • Grzegorz Pniewski
    • 2
  • Patric Le Pivert
    • 3
  1. 1.Department of Thoracic SurgeryWrocław Medical UniversityWroclawPoland
  2. 2.Department of Thoracic SurgeryLower Silesian Center for Lung DiseasesWroclawPoland
  3. 3.Interventional Drug Delivery Systems and Strategies GroupJupiterUSA

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