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Pectus excavatum repair - series

Normal anatomy:

Pectus excavatum is a deformity of the front of the chest wall with depression of the breastbone (sternum) and rib (costal) cartilages


Normal anatomy


Indications:

Repair of pectus excavatum may be recommended for:

  • improved appearance (cosmetic repair)
  • improved breathing (respiratory function)

Indications


Procedure:

While the child is deep asleep and pain-free (using general anesthesia), an incision is made over the breastbone (sternum). The deformed cartilage are removed and the rib lining is left in place to allow re-growth of the cartilage. An incision is made in the sternum and it is repositioned. A rib or metal strut may be used to stabilize the sternum in normal position until healing occurs in 3 to 6 months. A chest tube may be placed to re-expand the lung if the lining of the lung is entered.

Metal struts are removed 6 months later through a small skin incision under the arm. This procedure is usually done as an outpatient.


Procedure


Aftercare:

Hospitalization for 1 week is common. Vigorous activity may need to be restricted for 3 months.


Aftercare



Review Date: 11/12/2007
Reviewed By: Rachel A. Lewis, M.D., F.A.A.P., Columbia University Pediatric Faculty Practice, New York, NY. Review provided by VeriMed Healthcare Network.

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