Pectus excavatum correction

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  1. Positioning

    Positioning

    In the supine position, the left arm is extended, and the right arm is fixed at 90° flexion at the elbow joint on the support. The right shoulder and back are padded for stabilization.

  2. Definition of topographical landmarks

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    Definition of topographical landmarks
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    Preoperatively, the inframammary fold was marked while standing. Now, the nipple/medioclavicular lines are added. Subsequently, the xiphoid process is palpated and also marked. This is followed by identifying the planned entry points for the pectus bar laterally, at the level of the highest point of the deformity. These are marked on the inframammary lines.

Insertion of the optical trocar

Through a small skin incision on the mid-axillary line at the level of the axilla, the optical troc

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