Pectus excavatum is one of the most common chest malformation. It occurs 4-5 times more often in boys. Familiar occurrence of the malformation has been observed. Two surgical techniques have been performed predominantly: the Ravitch method (1949) with further modifications and the Nuss minimally invasive method (1998).
<bold>The aim of the study</bold> was presentation of our own, slightly modified surgical technique, its results and original analgesia method in early postoperative period.
<bold>Material and methods.</bold> 190 Nuss procedures have been performer in years 1998-2008. 140 children operated on for the period of 8 years have been analyzed. A slightly modified surgical method and original postoperation intrapleural analgesia method have been presented. No thoracoscopy and no lateral stabilizations have been used. The Haller index of operated children was 2.2-5.8. The children's age was 4-18 years, av. 14 years. An average operation time was 40 min and 80 min together with anesthesia.
<bold>Results.</bold> Very good result was achieved in 72%, good in 22% and bad in 5%. No mortality and inner organ injuries were noticed. Minor complications occurred in 12% of children.
<bold>Conclusions.</bold> The Nuss procedure for the correction of pectus excavatum gives good and very good results in 94% of children. The minimal invasiveness of this method allows to use this method for minor defects. The limitation of this technique is asymmetric defect in which the Ravitch procedure is still the method of choice.
Financed by the National Centre for Research and Development under grant No. SP/I/1/77065/10 by the strategic scientific research and experimental development program:
SYNAT - “Interdisciplinary System for Interactive Scientific and Scientific-Technical Information”.