Minimal Access Repair of Pectus Excavatum

Pectus excavatum occurs in an estimated 1 in 300–500 births, with a male predominance of 3:1. Worsening of the chest’s form and the onset of symptoms are usually reported during rapid bone growth seen in puberty and early adolescence. This topic focuses on the operative technique known as the minimally access repair of pectus excavatum (MARPE). Because of the early excellent results obtained with this technique and because of the less radical nature of the open surgical procedures, the popularity of this approach has grown. This chapter deals with the technical and operatives steps of performing a MARPE. Technical modifications in MARPE have also been highlighted and discussed.