A Novel and Safe Surgical Technique for Pectus Excavatum Correction

P0162 

Abstract Submission 

shyam Kolvekar (1), Karen REdmond (2)

(1) Advanced Cardiothoracic Consultants, LLC, London, United Kingdom, (2) The Mater Hospital, Dublin, NA

shyam Kolvekar    -  Contact Me
Advanced Cardiothoracic Consultants, LLC

Karen REdmond    -  Contact Me
The Mater Hospital

shyam Kolvekar    -  Contact Me
Advanced Cardiothoracic Consultants, LLC

Introduction:
Pectus excavatum is a congenital chest wall deformity characterized by a sunken sternum, which can result in both cosmetic and physiological concerns. While traditional surgical techniques, such as the Nuss and Ravitch procedures, are commonly used, they are associated with significant morbidity, extended recovery times, and potential complications. This study presents a "Pectus Up" , novel and safe operation technique aimed at reducing these risks while maintaining or improving the correction of the deformity.
Methods:
Between 15-38 years of age patients with pectus excavatum underwent the novel procedure at UK, Ireland, India and Australia. The operation is as follows: the Pectus Up implant is placed on top of the sternum, at the subpectoral level, in the most sunken area of the chest. Subsequently, by means of an elevation system, the sternum is lifted to the desired position and is fixed with the implant.. Intraoperative and postoperative outcomes, including operative time, blood loss, length of hospital stay, and complication rates, were recorded and compared with historical controls who underwent traditional procedures.
Results:
The novel procedure took average of 45 minutes compared to 90-120 minutes for NUSS procedure and around 180minute for Ravitch Procedure, with small incision in front of chest. There is minimal blood loss. There is no necessity of thoracoscope. The average hospital stay was reduced to 2 days compared to 5 -7days for NUSS or Ravitch Procedure. No major complications, such as infection or bar displacement, pneumothorax, haemothorax , were observed in this cohort. Patient satisfaction scores were high reporting significant improvement in both the cosmetic and physiological aspects of the condition. The pain management with much easier without cryoablation or epidural. Patients with pectus up needed oral analgesics for average of 2 weeks ,compared to 4-6 weeks of oral analgesics treatment for NUSS and Ravitch procedure.
Conclusion:
This study demonstrates that the novel surgical technique for pectus excavatum is not only safe but also offers advantages over traditional methods, including reduced morbidity and improved patient outcomes. Further studies with a larger cohort and longer follow-up are recommended to confirm these findings.

Chest Wall, Pleural and Mediastinal Disease