Modified Nuss procedure in patients with recurrent pectus excavatum following the Ravitch procedure with a retained strut: report of two cases

These cases underscore the viability of the Nuss procedure in treating recurrent pectus excavatum in patients who have previously undergone the Ravitch procedure, even if retained struts are present. Meticulous preoperative planning and surgical techniques are essential to managing the challenges posed by previous surgeries and hardware retention. The Nuss procedure can provide effective solutions in complex cases. However, further research is required to investigate the long-term outcomes of this approach.