Pectus excavatum is a deformity of the chest wall characterized by the "collapse" of the sternum causing an unsightly deformity. In severe cases it can lead to pulmonary restriction or heart problems and treated with surgery from 12-13 years. Currently there are several surgical options deformity and severity.
Ravitch technique. the correction is performed without entering the chest cavity, avoiding the risk of internal injury through a minimum horizontal incision in the sternum. In this technique deformed costal cartilages are removed, repositioned sternum in its normal position by osteotomy and stabilized with a metal bar.
Nuss technique. It consists of placing a metal bar into the chest cavity by VATS. This bar is kept at least 3 years for the sternum regain its normal shape. In this surgery incisions on both sides of the thorax are performed, they are small and inconspicuous.
Taulinoplastia. Innovative method in which a sternal traction with a metal bar that is placed in front of the sternum and the ribs are done. Thanks to this technique aesthetically good results are obtained.
The advantages we get with these methods, the use of minimally invasive surgery and new anesthetic techniques are:
- minimal blood loss
- Time much shorter recovery
- almost total absence of pain in the postoperative
- Improving lung restriction
- excellent cosmesis
- Recovery adolescent self-esteem
After surgery, the patient will remain in the post-anesthetic recovery unit between 1 and 3 hours. It will then be moved to the room where the admission time is 3 days.