Current evidence on the safety and efficacy of placement of pectus bar for pectus excavatum (also known as MIRPE [minimally invasive repair of pectus excavatum] or the Nuss procedure) is adequate to support its use provided that normal arrangements are in place for clinical governance, consent and audit.
Placement of pectus bar for pectus excavatum should be carried out only by surgeons with cardiac and thoracic training and experience, who are capable of managing cardiac or liver injury, and where there are facilities for this.
This procedure should be carried out only by surgeons with specific training in inserting the device, and they should perform their initial procedures with an experienced mentor.