Minimally Invasive Repair of Pectus Carinatum

MINIMALLY INVASIVE REPAIR OF PECTUS CARINATUM
Robert Kelly, MD1, Sherif Emil, MD, CM2.
1Children’s Hospital of the King’s Daughters; East Virginia Medical School, Norfolk, VA, USA,
2Montreal Children’s Hospital; McGill University Health Centre, Montreal, QC, Canada.

Pectus carinatum is a chest wall anomaly amenable to correction by a number of
surgical and non-surgical techniques. Minimally invasive repair of pectus carinatum, also
unknown as the Abramson or reverse Nuss procedure, is an innovative technique that
can achieve correction without major cartilage resection, large incisions, or prolonged
bracing. Like other innovative techniques, the operation has gone through several
technical problem-solving stages, and has yet to be adopted widely. We present a high
fidelity video that illustrates the required equipment and surgical maneuvers necessary
to optimize safety and outcome of this new technique. The results in two teen-age boys
are demonstrated.

DOI: https://doi.org/10.17797/fo5h3wx5hz