From pullout-techniques to modular elastic stable chest repair: the evolution of an open technique in the correction of pectus excavatum.

Background: Traditionally open procedures have been replaced by minimally invasive techniques in the correction of pectus excavatum. Efforts to improve the extent of mobilization of the chest wall and its stabilization have led to constant modifications. There is currently no consensus about the best procedure for correction of pectus excavatum.

Elastic stable chest repair and its hybrid variants in 86 patients with pectus excavatum.

Background: Complex and mature funnel chest deformities are traditionally managed with open surgical procedures. Elastic stable chest repair (ESCR) has been used successfully and safely for relapse corrections. Does pure plate osteosynthesis in ESCR allow comparable corrective potency and implant safety as hybrid methods with metal bars?

Methods: Data from 86 patients with open funnel chest correction between 2011 and 2015 were analyzed in this retrospective study.