Abstract Background For particular therapy to right pectus excavatum (PE), conservative treatment together with the vacuum bell (VB) was introduced a lot more than 10 years ago along with surgical repair. Preliminary benefits using the VB had been encouraging. We report on our 13-year experience with all the VB treatment which includes the intraoperative use in the course of the Nuss process and present some technical innovations. Get extra details about pectus excavatum vacuum bell for sale Procedures A VB with a patient-activated hand pump is made use of to make a vacuum in the anterior chest wall. Three various sizes of vacuum bells, also as a model fitted for young females, exist. The acceptable size is selected in line with the person patient’s age and ventral surface. The device must be utilised at home for any minimum of 30 minutes (twice every day), and may perhaps be applied up to a maximum of many hours each day. The intensity with the applied adverse pressure might be evaluated with an integrated stress gauge during follow-up visits. A prototype of an electronic model enables us to measure the correlation amongst the applied negative pressure and the elevation of the anterior chest wall. Final results Given that 2003, approx. 450 sufferers involving 2 to 61 years of age began the VB therapy. Age and gender particular variations, depth of PE, symmetry or asymmetry, and concomitant malformations for example scoliosis and/or kyphosis influence the clinical course and achievement of VB therapy. Based on our experience, we see three distinctive groups of individuals. Instant elevation in the sternum was confirmed thoracoscopically during the Nuss process in just about every patient. Conclusions The VB therapy has been established as an alternative therapeutic solution in chosen patients suffering from PE. The initial outcomes up to now are encouraging, but long-term final results comprising a lot more than 15 years are so far lacking, and additional evaluation and follow-up studies are needed.