Surgical treatment of pectus excavatum is intended to reduce pressure on vital organs and create a more normal chest shape by repositioning the chest including the ribs, sternum or “breastbone”, and the cartilage that connects the ribs to the breastbone.
Until the widespread adoption of the minimally-invasive Nuss Procedure during the 1990s, a surgery that is commonly referred to as the Ravitch Procedure was the most common surgical option for correction of pectus excavatum.
This surgery corrects the shape of the chest by making a long cut, or incision, below the breast line across the chest. After the surgeon raises the chest muscles off the breastbone and ribs, he or she removes the abnormal cartilage, moves the breastbone into a normal position and places a short steel bar behind the breastbone to keep it in place.
Surgery is performed while the patient is asleep under general anesthesia. Following the 4 to 6 hour surgery, the cartilage will typically regrow and reconnect the breastbone to the ribs.
A Ravitch Procedure generally follows these steps:
This 1- to 2-hour long surgery corrects the shape of the chest by using a curved metal bar that is placed under the breastbone.
With the help of a small camera, the surgeon will create a pathway across the chest under the breastbone and insert a Pectus Support Bar.
The bar is shaped to fit the patient’s anatomy and lifts the chest into a normal shape. As the bar pushes the breastbone forward, it lifts the cartilage that holds the breastbone to the ribs, reshaping the cartilage and creating a more normal shape. Surgery is performed while the patient is asleep under general anesthesia.
A Nuss Procedure generally follows these steps:
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Talk to your surgeon about whether the MIRPE/Nuss procedure is right for you and the risks of the procedure, including the risk of implant wear, loosening or failure, and pain, swelling and infection. Zimmer Biomet does not practice medicine; only a surgeon can answer your questions regarding your individual symptoms, diagnosis and treatment.