Pectus Excavatum Surgical Repair | A Cincinnati Children’s Medical Animation

Pectus Excavatum Surgical Repair | A Cincinnati Children’s Medical Animation

January 7, 2020 100 By Bertrand Dibbert


[Narrator] In this animation we see a patient with
Pectus Excavatum. The Indentation from this deformity is compressing and in some cases displacing the heart. To begin, two small incisions are made on
either side of the chest plus a small incision for scope, which will allow for direct vision during the procedure. To allow for better visualization and safer passage across the chest, a retractor is placed to lift the sternum
away from the heart. A tunneling instrument is then used to enter the chest on the right, go beneath the sternum, and then exit the chest on the left. Next, a chest tube is attached to the tunneling instrument and to the bar being used to correct the deformity. The tube and bar are pulled through the incisions, all while ensuring the bar is away from the heart. The bar is then rotated with the help of
two bar flippers. The bar is secured into place using heavy
sutures around the bar and the ribs, and sometimes by stabilizers. The chest is now totally corrected, and ample space is available for the lungs and heart. All incisions are closed with sutures that are absorbable. The patient will be taken to the recovery
room where they will spend about 30 minutes coming out of anesthetic before
being moved to their in-patient room.