Minimal-Invasive Repair of Pectus Excavatum

  • Beatrix Hoksch
  • Jan SiebengaEmail author
  • Ralph Alexander Schmid


Since the end of the 1990s, the management of pectus excavatum has undergone major changes. Observations about the correction of skeletal abnormalities in orthopedic surgery and the possible chest remodeling in emphysema patients aided in the development of a minimal-invasive surgical procedure for pectus excavatum by Donald Nuss. The basis of this “Nuss procedure” is the placement of a convex stainless steel bar under the sternum through two small lateral thoracic incisions. This bar position allows the anterior displacement of sternum and ribs without need for bone or cartilage resection. Various studies show excellent outcomes after the minimal-invasive repair of pectus excavatum.


Club Foot Costal Cartilage Anterior Chest Wall Pectus Excavatum Haller Index 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Beatrix Hoksch
    • 1
  • Jan Siebenga
    • 2
    Email author
  • Ralph Alexander Schmid
    • 3
  1. 1.Division of Thoracic SurgeryInselspital BerneBerneSwitzerland
  2. 2.Division of Thoracic Surgery, Department of General SurgeryAtrium Medical CentreHeerlenThe Netherlands
  3. 3.Division of General Thoracic SurgeryUniversity Hospital BerneBerneSwitzerland

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