Pectus Excavatum Surgery Repair

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Quick Facts Regarding Pectus Excavatum Surgery Fix

– The Pectus Excavatum surgery is meant to fix the form of the bone in the center of the chest area – the sternum or breastbone, so that the lungs and the heart aren’t compressed by the inward curve of the chest.
– Every child’s pectus excavatum surgery should take place at a children’s hospital, owing to certain nuances in the treatment of children and adults.Pectus Excavatum Surgery

– Your child’s pectus excavatum surgery will be completed under general anesthesia, which indicates that he or she will be asleep during the operation, so don’t worry about pain, at least during the surgery.
– Make sure you are up to date on which foods and drinks to avoid before surgery. Usually there are certain dietary limitations 3-4 hours leading up to the surgery.
– Your child will be given either intravenous medicine, oral {medicine|drugs|treatment|therapy} or an epidural catheter for serious pain following the surgery.
– The pectus excavatum surgery will take around 1 to 6 hours, based on the technique used the specifics of your child’s state.
– Your kid will stay in the medical center for about 3 to 7 days.

What Exactly Is Pectus Excavatum Fix?

Pectus is the Latin word for “chest,” and excavatum, also Latin, means “caved in.”

The ribs are connected to the bone in the center of the sternum (breastbone) with cartilage, smooth, flexible connective tissue. Pectus excavatum, also called “funnel chest,” is a deformity that occurs when this cartilage overgrows and pushes in onto itself, making the sternum bend inward.

Once this problem happens, the heart is pressed from the “midline,” or middle of the chest area, and turned to the left side of the chest, potentially hindering its skill to pump blood. Any time the heart can’t pump blood the way it should, the kid might get easily exhausted during physical exertion. The bend of the sternum may also squeeze the lungs, making it more difficult to breathe.

Pectus excavatum happens mainly  in the early teens, during times of accelerated growth and generally targets boys.
Beside fixing heart and breathing problems, a pectus excavatum surgery might also be done for cosmetic factors — to normalize the appearance of the chest area.

The pectus excavatum surgery is elective, which means it can be done only with the approval of the parents. Most decide to have their kid’s surgical procedure during the summer to let their child more time to heal without missing school.

Pectus excavatum surgery is completed under general anesthesia, which puts your child into a sound sleep. It is a requirement for this surgical procedure which helps make the surgery easier and much safer.

Examinations Required Before Pectus Excavatum Surgery

Just before your kid is admitted to the hospital for a pectus excavatum surgery, he or she is needed to have the following outpatient examination:

-Echocardiogram (or Echo) of the heart, to search for valve troubles that may be linked to pectus excavatum.|
– A CT scan of the chest area to determine how effective the pectus excavatum surgery repair will probably be.
– Pneumonic function study, a breathing examination that is often essential to measure the quantity of air your kid can get in and out of his/her lungs.

Home Preparation

Any time a general anesthesia is needed, there are crucial rules for a diet that must be followed several hours before the pectus excavatum surgery. Right before your child’s surgery, you are going to receive a phone call from a health professional between the hours of 1 and 9 p.m. (Nurses do not make these calls on weekends or holidays). Make sure you have paper and a pen set to write down these crucial guidelines. The nurse will present you with certain eating and drinking instructions for your child depending on his/hers age.

The Role of the Parents

Your role is to help your kid remain peaceful and relaxed just before the pectus excavatum surgery. The best method to help your kid remain relaxed is for you to stay relaxed.

You can take along a “comfort” item—such as a loved stuffed animal or “blankie”— for your kid to hold prior and after the surgery.
During the course of the pectus excavatum surgery, at least one parent or relative need to stay in the surgical family waiting room at all times, in case the family needs to be reached.

The Pectus Excavatum Surgery

As soon as questions are responded and the operating room is ready, your kid will be taken into the operating room and given an anesthetic to prepare him or her go to sleep. Once your kid is asleep, the surgery should begin.

Two Types of Pectus Excavatum Surgery

– Ravitch Technique – This technique involves making a  long incision across the chest to remove excess cartilage, reposition the rib cage, and implant a wedge bone graft to correct pectus excavatum. The Ravitch technique has been recently modified as a less-invasive procedure. Two stain rods are placed in the chest area to support the rib cage and are wired to the ribs on the opposite side, which creates breastbone elevation. The rods are not visible, and are removed after 3 years.

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– Nuss procedure – It is the most recommended pectus excavatum surgery for adults. Two small holes are made on either side of the chest and  a curved steel bar is inserted under the sternum. Designed differently for each patient, the steel bar is used to pull out the sternum and is fixed to the ribs on either side. A small steel, grooved plate may be used at the end of the bar for stabilization and to help attach the bar to the rib. The steel bar is not visible from the outside and stays in place for a minimum of three years depending on the severity of the pectus excavatum deformity.

Waking Up

Once your kid is transported to the healing room, you will be called so that you can be there as he or she wakes up. While your kid is in healing mode, your pectus excavatum surgeon will talk to you all about the surgery. This is when you can ask questions about pain medications, diet and activity.

The duration of time period your kid will spend in the recovery room will differ simply because some young kids take much longer than others to wake up after anesthesia.
Kids coming out of anesthesia respond in various ways. Your kid might cry, be fussy or lost and he or she might even be sick. These types of side effects are regular and will disappear as soon as the anesthesia wears off.

Medical Center Stay After Pectus Excavatum Surgery

The Nuss procedure is painful for the very first days following the pectus excavatum surgery. Your kid will have an epidural (ep-i-DOOR-ul) catheter while in the hospital. The catheter that is epidural be inserted during the surgical procedureis to let the constant movement of pain medication for a couple of days after surgery. Your kid will proceed to be on a pain that is moderate for about two weeks after the pectus excavatum surgery.

Your kids activity is going to be significantly limited after either procedure if there is an epidural catheter. Your kid’s doctor will determine how long he or she will have an catheter that is epidural. It is usually taken out within four days from the pectus excavatum surgery.

What To Do At Home Following a Pectus Excavatum Surgery

Just before leaving the medical center, you will be provided a prescription for your kids pain medication and guidelines for using the prescription drugs. Your kid may continue most of his/hers regular activities.

– Your kid is going to be ready to wash frequently in 5 to 7 days.
– Your child may get back to school when he or she is no longer receiving pain drugs.
– He or she will be excused from gym class for at least a couple of months.
– You kid needs to avoid contact sports for a 6 months.
– Your kid must stay away from turning and twisting at the waist or any tasks that will probably cause the bar in the chest to move for about 6 months.
– Your child shouldn’t carry a back pack until after the first checkup with your pectus excavatum surgeon.

Post Operative Meeting With The Surgeon

Your kid will be planned to see the pectus excavatum surgeon in between 2 to 4 weeks after leaving the medical center. Parents should call the  office whenever they have any questions or concerns.

What did a recent Canadian Pectus Excavatum Study show?

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