Pectus Excavatum

Symptoms

Physical symptoms

• Shortness of breath with exercise
• Decreased stamina compared to peers
• Fatigue
• Chest pain
• Irregular heartbeat

Psychological symptoms

• Significant embarrassment from the appearance of the chest.
• Self-esteem issues.
• Clinical depression

Surgery

Nuss Procedure (Minimally Invasive Surgery)

Repair with a metal pectus bar, called the Nuss Procedure, is achieved by bending a stainless bar to fit the chest wall. The bar is then inserted and secured through a small incision under each arm using the aid of a endoscope to monitor and avoid injury to the heart during insertion. The bar goes over the ribs and under the sternum, to push the sternum forward into the new position. The ends of the bar are secured to the chest wall. This procedure takes between 1–2 hours.

• The Nuss procedure is a minimally invasive surgery to correct pectus excavatum.
• It involves inserting a curved metal bar under the sternum to lift it into a normal position.
• The bar stays in place for about two to three years and is then removed.
• Recovery time is generally shorter than with open surgery.
• The Nuss procedure is considered safe and effective, with a low complication rate.
• It can improve both physical and psychological symptoms of pectus excavatum.

3D Implants for Pectus Excavatum

A surgical technique used to treat most forms of pectus excavatum it involves placing an implant under the skin, soft tissue and muscle layer in front of the breast bone to mask the deformity. Compared to other types of surgery which correct the deformity it is a minor less invasive surgical procedure.

A prosthetic pectus implant is a less intrusive non-corrective procedure, with generally quicker recovery time. It offers an alternative to more invasive corrective surgery particularly in patients with no symptoms or functional problems. Here you can see advantages:

• Less invasive procedure
• Less recovery time
• Can be combined with breast implantation to augment small breasts or be used in patients with significant chest wall deformities
• No issues with post-operative capsular contracture so safer then breast implant
• The 3D implant technique is a viable option for patients who have had unsuccessful Nuss or Ravitch procedures.

3D Implants for Poland Syndrome

Poland Syndrome is a rare congenital condition that can result in underdeveloped or missing chest muscles, breast, and nipple in one side of the body. 3D printing technology has been used to create custom-made implants for patients with Poland Syndrome. These implants are designed to match the unique contours of the patient’s chest and are created based on scans and measurements of the patient’s body. The use of 3D printing technology in creating implants for Poland Syndrome has shown promising results, with improved aesthetic outcomes and patient satisfaction.

• 3D printed implants are custom-made to fit the patient’s unique anatomy and can be used for Poland Syndrome reconstruction.
• The implants are made from biocompatible materials that are safe for the body.
• 3D printing technology allows for precise design and production of the implant, resulting in a more natural and symmetrical appearance.
• Implants can be used for both male and female patients, and can help improve self-esteem and confidence.
• The procedure is typically performed under general anesthesia and requires a recovery period of a few weeks.
• The use of 3D printed implants has shown promising results in treating Poland Syndrome, with high patient satisfaction rates.

Preop Tests

• An electrocardiogram(ECG) and possibly an echocardiogram that shows how the heart is functioning
• Pulmonary function teststo check for breathing problems
• CT scan or MRI of the chest

Why Hisar Intercontinental Hospital?

Materials

We only use FDA approved American brands in our surgeries.

We prefer products such as trocar, energy device, stapler and single use products to every patient.

Products we use;

• Trocar: Medtronic,
• Energy Devices: Medtronic, Ethicon
• 3D Implant Custom Made

Technique

Nuss Procedure:

• Closed minimally invasive technique (VATS)
• Lorenz bar insertion

• Custom made implant used thorough minimal incision
• Can be used for Poland Syndrome and Pectus Excavatum

About Hisar Intercontinental Hospital

The aim of the our hospital is to provide the highest patient satisfaction through diagnostic and treatment units using advanced medical technologies at affordable prices.

16 years of work

Our hospital has a JCI certificate and is included in the TOP10 hospitals in Turkey

90+ doctors

The best doctors, annually undergo advanced training

53 branches

We are a multidisciplinary hospital. We have 212 beds and 30 intensive care units

We speak 12 languages

We serve patients from all over the world in 12 different languages