Pectus Surgery

The adoption of multiple corrective metal bars has improved effectiveness and safety but has substantially raised procedural costs. All intervention-arm participants receive surgery within 3 months of randomisation and are followed for up to 3 years post-surgery. Many clinicians, commissioners, and payers believe the benefits of pectus surgery are confined to cosmetic and psychological improvement. Complication rates after Nuss surgery increase with patient age. Approximately 16% of patients experience complications after pectus surgery, and around 70% of those complications require reintervention. In the RESTORE trial, the choice of surgical procedure is made jointly by the surgeon and participant.