Total Pectus Excavatum Repair: Open Approach

Pectus excavatum is the most common congenital abnormality of the chest wall and frequently requires repair and reconstruction. Historically, the open repair has been the standard approach, though the minimally invasive Nuss bar approach has become more common over the last two decades. Our operative description of the Ravitch-type repair with modifications remains a valuable tool in complex cases and re-do operations.