An Overview of Minimally Invasive Pectus Excavatum Repairs Available in Ireland

Title: An Overview of Minimally Invasive Pectus Excavatum Repairs Available in Ireland
Author(s): D Rice R Fleck S Barrett J McLoughlin KC Redmond
Institution: Department of Thoracic Surgery, Mater Misercordiae University Hospital, Dublin Ireland
Poster: Click to view poster
Category: Lung Cancer/CF/ILD/Surgery
Abstract: Introduction: Pectus excavatum is the most common congenital deformity of the thoracic wall, characterised by an inwards turned sternum, resulting in a concave “funnel-like” chest. Pectus excavatum is associated with a wide spectrum of clinical presentations from cardiopulmonary effects to psychosocial concerns about cosmetic appearance. Recently, less invasive techniques have been developed with a view to reduce post-operative pain and morbidity, and primarily focus on improving cosmesis.
Methods: A custom made implant, offered by Anatomik modelling, can be inserted superficial to the patient’s sternum. Silicone implants are specifically engineered using computer assisted design (CAD), tailored to a patient’s unique anatomy based on CT imaging, and implanted with a superficial, straightforward procedure.

Alternatively, Pectus Up is an innovative, minimally invasive technique called taulinoplasty. This uses a set of implants and tools to create a small puncture in the sternum. The sternum is then elevated, before being secured in place with a bioinert plate. This plate is subsequently removed in 3-4 years. It offers a much shorter recovery time than traditional repairs, is performed via a smaller incision and has less associated complications.

Conclusion: Minimally invasive options should be considered above open or more morbid techniques for repairing pectus excavatum, especially when the primary outcome is cosmetically orientated.