Modified sternal turnover operation for pectus excavatum in adult

Objective To analyze the surgical data of adult patients with pectus excavatum treated by modified sternal turnover operation.Methods 19 patients with pectus excavatum including 17 male and 2 female were studied.Their mean age at operation was 19.5 years(range 18～22) and the index(F1) was between 0.25 and 0.3.Sternal turnover operation was performed in 11 cases,and Sternal turnover with pedicle of abdominal rectus muscle in another 8 cases.Results All the patients had markedly postoperative improvement in thoracic configuration.The postoperative follow up was ranging from 1 to 5 years.No recurrence was occurred.The patients had normal shape or mild flat of the chest and an increase in exercise tolerance.The heart returned to its normal site.Conclusion Sternal turnover operation and Sternal turnover with pedicle of abdominal rectus muscle for Pectus excavatum in adult are safe.But the later operating is complex and time-consuming.