Pectus Deformity

Pectus Excavatum
• It Is A Chest Wall Deformity Resulting In A Sunken Breastbone (Sternum) Or Rib Cage.
• It Occurs In About One In 1,000 People And Is More Common In Males Than Females.
• The Deformity May Be Seen At Birth Or Show Up Later During Childhood Or Puberty.
• It May Affect The Heart And Lungs Depending On Severity Of Deformity.
• May Be Associated With Other Syndromes.

Alternative Names Of Pectus Excavatum
• Funnel Breast
• Funnel Chest
• Sunken Chest

Medical Help For Funnel Chest
You Should See The Doctor If You Experience The Following
• Chest Pain [Compressed Heart And Lung]
• Breathing Difficulties [Compressed Heart And Lung]
• Decreased Exercise Tolerance Compared To Peers [Compressed Heart And Lung]

Evaluation Before Surgical Repair
• A Complete Medical History And Physical Exam
• Chest Measurements And Photos Of The Chest
• Routine Blood Investigation
• CT Scan Of Chest / Chest X-Ray
• Pulmonary (Lung) Function Tests (PFT)
• Cardiac (Heart) Echocardiography / ECHO / ECG
• To Evaluate For Effect On The Heart, Lung And Any Associated Conditions.

Minimally Invasive Repair Of Pectus Excavatum [MIRPE]
• Use Of Stainless Steel Bar
• Bone Remodels Along The Bar
• No Cutting Of Ribs
• Small Skin Incision
• Morphology / Defect Based Pectus Repair

Repair Based On Morphology And CT Images Of Chest Using
• TERCOM/ Terrain Contour Mapping
• CT Measurement For Bar Contouring
• Park’s Morphological Classification Criteria [Symmetrical And Asymmetrical Defects]
The Above Techniques Help Achieve A Perfect Morphological And Heart Lung Function

Repair Of Sunken Chest
The Procedure Is Done Under General Anesthesia.
• Sternal Lift Technique/Crane Technique – Prevent Heart, Lungs Injury.
• Pectoscopy – Entire Procedure In Chest Done Under Endoscopic Vision [In Thoracoscopy Only One Side Chest Under Vision]
• Specially Designed Stainless Steel Bar/ Bar Stabilizers/ Bar Fixators / No Wire Fixation Of Bars

Complications Of MIRPE
If They Arise, Complications Are Associated To:
• General Anesthesia Which Is Used.
• Surgery Related
1. Injury To Heart/Lung
2. Pneumothorax/Hemothorax
3. Bar Displacement/Dislodgement
4. Wound Infection
5. Care After Pectus/MIRPE Surgery
• Postoperation, Patient Will Be Shifted To The ICU For Monitoring.
• Pain Control Will Be Our Top Priority During Recovery
• Eating Will Be Allowed Once Patient Is Awake And Able To Swallow
• Correction Of Defect Will Be Monitored With Chest X Ray / CT Thorax.
• Chest Physiotherapy And Postural Monitoring During Stay Which Will Be Continued At Discharge
• Discharge From Hospital Usually On The 5th To 7th Postoperative Day.

Discharge Advice
A Detailed Dos And Don’ts Will Be Advised According To The Age And Patient Characteristics.
• Maintain A Good Posture
• Avoid Lifting Weight
• Avoid Contact Sports

Bar Removal
Bar Removal Is Done Under General Anesthesia At The End Of 2 Years To 3 Years Depending On Age Group. It Can Be Done As A Day Care Procedure Or Overnight Admission.

Care After Bar Removal
• Wound Care Is Most Important
• Keep Site Clean And Dry

Benefits Of The Procedure
• PHYSIOLOGICAL – Improved Heart And Lung Function
• Psychosocial – Improved Self Esteem
• Cosmetic

Important Information
• If You Are Planning For Surgery, We Can Connect You With Closed Group Of Patients, Who Have Undergone Surgery In Past.
• For International Patients Travel, Stay And Visa Assistance Provided.