Minimally invasive surgery for pectus excavatum

Written by: Dr. Alberto Sánchez Abuín
Published: | Updated: 20/02/2018
Edited by: Top Doctors®

pectus excavatum 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.

*Translated with Google translator. We apologize for any imperfection

By Dr. Alberto Sánchez Abuín
Pediatric Surgery

Renowned specialist in pediatric surgery, Dr. Sanchez Abuín, graduated in Medicine and Surgery from the University of Navarra and made his training via MIR at the University Hospital of La Coruna Juan Jinx. In addition, he specialized in Pediatric Urology at Children's Hospital of Miami under the direction of Dr. Rafael Gosalvez, considered one of the best surgeons in the world, and recognized specialist in surgery of the urethra and hypospadias. Moreover, he completed his training in the techniques of video-assisted, laparoscopic and thoracoscopic in Lapeironie Hospital of Montpellier, combines his clinical work with teaching, being associated with the Department of Surgery at the University of Valladolid from September 2013 teacher, and disclosure of content publishing numerous articles. Currently he is founder and Section Head of Pediatric Surgery Hospital of Valladolid.

*Translated with Google translator. We apologize for any imperfection

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