Modified wang procedure after the failed nuss procedure

Abstract

Nuss procedure is the most commonly used surgery for pectus excavatum. However, this kind of procedure can not achieve good results sometimes. Once the operation fails, it will bring great trouble to the patient. Because of the adhesion in the mediastinum, Nuss procedure will be very risky and difficult in the reoperation. Wang procedure is a new operation designed for depression deformities. Since the operation is mainly focused on the bone structures, it can significantly reduce the risk and difficulty of the reoperation, and it is the first choice for this type of operation. This paper reports the operation of a 7-year-old pectus excavatum patient. The child underwent Nuss procedure at the age of five. The operation was unsuccessful. We used the modified Wang procedure to perform another operation and achieved satisfactory results.