Laleng M Darlong1*, Ashwani K Sharma2, Dharma Poonia2, Himanshu Shukla2 and Deepak Sharma2
1Head of Thoracic Oncosurgery, Rajiv Gandhi Cancer Institute & Research Centre, India
2Division of Thoracic Surgery, Rajiv Gandhi Cancer Institute & Research Centre, India
Objective: The minimally invasive repair of pectus deformity is associated with risk of bar displacement due to sutures around the bar giving way. This may result in recurrence with revision surgery, internal organ injury requiring immediate care, undesirable adhesion along displaced bar complicating bar removal. In order to overcome the immediate or late complications of bar displacement we developed a technique for bar stabilization in the minimally invasive repair of pectus deformity.Methods: In September 2012 a T plate system for reverse NUSS procedure was developed to obtain a stable sternal compression for pectus carinatum. This was later applied to all cases of minimally invasive repair of pectus deformity following the use of 1/3 tubular plate.
Results: The moon bridge bar stabilization provided a mechanically stable fixation technique with no bar displacement reported on morphological evaluation or chest X-ray examination in all the 14 cases over a follow up of 25 months to 38 months.Conclusion: In the minimally invasive repair of pectus deformity the Moon Bridge bar stabilization technique provided a rigid and stable bar framework avoiding complications of displacement and is the way forward in chest wall deformity correction.
Moon bridge bar; NUSS procedure; Reverse NUSS; Pectus excavatum (PE); Pectus carinatum (PC)
Darlong LM, Sharma AK, Poonia D, Shukla H, Sharma D. Moon Bridge Bar Stabilization: The Way Forward for Bar Stabilization in Minimally Invasive Repair of Pectus Excavatum and Pectus Carinatum. Clin Surg. 2016; 1: 1256.