Pectus Excavatum: Management and Treatment

Jan 7th 2019 at 2:34 AM




How is pectus excavatum treated?

Pectus excavatum can be treated surgically. The key purpose of surgery for pectus excavatum is to correct the chest deformity to improve a patient’s breathing and cardiac function. Repositioning the sternum to a much more standard, outward position lessens stress around the heart and lungs, permitting them to function a lot more commonly. The appearance with the chest can also be significantly enhanced, addressing any psychological symptoms that might also be present. Get more information about Concave chest


Pectus excavatum might be corrected with the minimally invasive surgical technique referred to as the Nuss process or with traditional surgery, generally known as the Ravitch process. Both procedures are performed in the Cleveland Clinic. Your surgeon will go over which procedure is definitely the most suitable determined by a number of variables.


The Nuss process: After a tiny camera is inserted in to the chest to guide the procedure, two tiny incisions are produced on either side of your chest, along with a curved steel bar is inserted under the sternum. Individually curved for each and every patient, the steel bar is used to correct the depression and is secured to the chest wall on every single side. The bar is left in location for 3 years and later removed as an outpatient process.

The Ravitch process: Also referred to as the “traditional” or “open” surgical repair of pectus excavatum, the Ravitch process requires an incision around the front of the chest with removal on the cartilaginous a part of the ribs which have overgrown and triggered the sternum to become pushed backwards. This enables the sternum to become pulled forward, away from the heart and lungs and into the standard plane on the chest wall. A little plate and tiny screws are frequently used to stabilize the sternum in its new position. Alternatively, a small metal bar might be placed behind the sternum to hold it in spot for 6 to 12 months. The bar is later removed having a short, outpatient procedure. This bar is smaller than the bar used within the Nuss procedure.

What are the added benefits of pectus excavatum surgical repair?

The purpose of pectus excavatum repair would be to relieve pressure on the heart and lungs that may impair function. This usually leads to improvements in breathing, workout intolerance and chest pain. It is not uncommon for patients with pectus excavatum to really feel as if their breathing and stamina are standard before surgery and then recognize they really feel much enhanced following correction.


In individuals whose main situation is definitely the abnormal appearance with the chest, there have been dramatic, optimistic alterations in their self-esteem and self-confidence. Comprehensive resolution of clinical depression, such as the capability to discontinue drugs that had been necessary for depression, has been seen in sufferers.


Both the Ravitch and Nuss procedures have excellent results, and individuals are virtually normally happy together with the way they feel and look following recovery. The recurrence (occurs once again) price for each procedures is much less than 1%.


What would be the risks of surgical repair of pectus excavatum?

The surgical repair of pectus excavatum, like other main surgeries, presents risks. When both the Nuss procedure as well as the modified Ravitch approach are secure and productive procedures, complications, though uncommon, can take place.


Probable complications from surgical repair of pectus excavatum consist of:


Pneumothorax (air around the lung)


Pleural effusion (fluid around the lung)


Bar displacement

Pectus excavatum recurrence (comes back) immediately after the bar is removed.

Injury to surrounding structures

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