Objective: The Nuss procedure is a widely accepted technique for correcting pectus excavatum.Â Unfortunately, fatal complications such as cardiac perforation and injury of the great blood vesselsÂ have been noticed in a few patients.We modified original Nuss technique to be simpler and less
Methods: We modified Nuss procedure with the sternal elevation to improve sternalÂ depression. Modified Nuss procedure was carried out by applying metal lifter raise sterum until theÂ patient starts to raise from the operating table. The space behind sternum is now wider, and surgery
has become safer with less probability of injuries intrathoracic organs. We compared 46 patientsÂ operated by the original Nuss method (taking into account the data from the literature onÂ complications of the original method on a large series of patients) with 54 patients operated by aÂ modified Nuss method.
Results: Before lifting the sternum depth of the deformity was between 2.9Â and 6.2 cm (mean 5.4 cm), and the increase were between 1.5 and 4.0 cm (mean 2.8 cm). TheÂ difference of 2.6 cm is large enough, and the width of introducer and bars are about 3 mm forÂ securely passed along the chest.
Conclusions: A modified method of treating pectus excavatum isÂ safer, better and with fewer complications than the original method of Nuss.