ADVANCES IN MINIMALLY INVASIVE SURGERY FOR PECTUS EXCAVATUM: ENHANCING OUTCOMES AND PATIENT CARE.

Pectus excavatum, also called sunken chest, is the most common deformation of the sternum (90%). The deformation is caused by the depression of the sternum and costal cartilages, which causes reduction of the chest cavity and dysfunction of cardio-pulmonary systems in it. Sunken chest is more common in males than females, prevalence is 5/1. Most of the cases appear in the first year of life, however severity of the pathology is formed during puberty. Etiopathogenesis, genetic factors, and associated diseases of Pectus Excavatum are various and are still the subject of study. The manifestation of the disease is determined by the degree of chest deformation, which is calculated using the "Haller index". Providing that a high degree of deformation can lead to pathological functioning of the cardiovascular and respiratory systems. The treatment of this condition is an urgent, complex, and developing issue. The main method of treatment for sunken chest is surgical intervention; However, in cases of mild degrees of the mentioned deformation, different approaches are used. Our goal is to discuss contrasting treatment techniques and present our improved repairing technique for sunken chest, which is performed in Georgia.