PROCEDURE FOR CORRECTION OF PECTUS EXCAVATUM
for correction starts with general anesthesia and the placement of an epidural
catheter for the management of pain after the operation. Two lateral incisions
are made on either side of the chest for insertion of a curved steel bar under
the sternum. A separate, small lateral incision is made to allow for a thorascope
(small camera) for direct visualization as the bar is passed under the sternum.
The bar is individually curved for each patient. The bar is used to pop out
the depression. It is then fixed to the ribs on either side and the incisions
are closed and dressed. A small steel, grooved plate may be used at the end
of the bar to help stabilize and fix the bar to the rib. The bar is not visible
from the outside and stays in place for a minimum of two years. When it is
time, the bar is removed as an outpatient procedure.
Nuss Procedure for Pectus Excavatum
Children's Hospital of the King's Daughters
Nuss Technique, also known as the Minimally Invasive Repair
of Pectus Excavatum (MIRPE), uses principles of minimal-access
surgery and thoracoscopy combined with the proper placement of a
Lorenz Pectus Bar to achieve correction of Pectus Excavatum.
LORENZ PECTUS SYSTEM
The Lorenz Pectus
Bars rounded ends and blunt edges discourage tissue destruction during
The Lorenz Pectus Bar comes in a variety of lengths ranging from 7 inches
(17.8 cm) to 17 inches (43.2 cm) to accommodate most Pectus Excavatum correction
All instruments in the Lorenz Pectus System are designed to increase simplicity
during the Nuss Procedure.
The Pectus System Storage Container conveniently houses the entire range of
Lorenz Pectus implants and instruments.
Lorenz Surgical, Inc., http://www.lorenzsurgical.com/PE_correction_DE.html