Abstract
Both open repair and minimal access surgical procedures employ metal struts or bars for the correction of Chest wall deformities (CWDs). The metal bars and struts for CWD repairs are not permanent implants and are removed based on the type of repair for which they were originally conceived. In open repairs which involve resection and anastomosis of the cartilage and remodeling of the sternum, the implants are removed after a period of 15 months. On the other hand, the minimal access repair which applies the concept of chest wall remodeling using pressure, correction of the deformities is best achieved when the pectus bar is left in position for a period of 3 years. There are large differences between the removal techniques of pectus struts for open repairs and pectus bars for minimal access repair, both of which will be highlighted in this chapter. Since the removal of the pectus bar after minimal access repairs still remains an area of concern, this chapter will also focus on the published techniques for pectus bar removal as well as instruments developed to aid pectus bar removal.
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