Correction of pectus excavatum using the modified Nuss procedure, ad modum Pilegaard.

Pectus excavatum is the most common chest wall anomaly; it is often present at birth and may worsen during adulthood. In 1998 the minimally invasive Nuss procedure for correcting pectus excavatum was introduced. It uses curved Lorenz bars to push the sternum into a normal position and is an alternative to the Ravitch technique, where costal cartilages are removed using a sternal midline incision.  Since 2001 pectus excavatum corrections at Aarhus University Hospital have been performed using the modified Nuss procedure ad modum Pilegaard, which calls for a short asymmetrical pectus bar and no additional stabilizing sutures. The modified Nuss procedure ad modum Pilegaard significantly improves quality of life and, in most cases, also improves cardiac performance.  This video tutorial presents a step-by-step demonstration of the modified Nuss procedure ad modum Pilegaard as performed at Aarhus University Hospital, Denmark.