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Technical information

Pectus Up Surgery Kit technical information

Surgical repair of the Pectus Excavatum with the Pectus Up technique is performed extrathoracically without invasion of the pleural cavity or the mediastinum.

The normal development of the rib cage is not hindered.

The implant, Pectus Up, is designed to adapt well to the chest and so that internal organs are not damaged by the implantation maneuver.

This technique uses the Pectus Up Surgery Kit system, consisting of a set of implants and tools, which exerts an external force to lift the sternum to place it in the desired position. With this technique the patient is preserved from iatrogenesis both when placing the device and when removing it, and the normal development of the rib cage is not hindered.

The implant is designed to adapt well to the chest. It is a plate that is placed in a presternal situation, at the subcutaneous level and, through a traction system (cancellous screw and an extractor system), the sternum is raised to correct the sinking. With this maneuver, tissue damage is minimized during the lifting and the internal organs of the chest are not impaired.

There are two models of Pectus Up Surgery Kit available, which are used depending on the type and shape of Pectus Excavatum and with which one or two elevators can be used to make the correction of the deformity in a more customized way.

Warnings and cautions

The Pectus Up Surgery Kit provides the surgeon with a means of surgical treatment of the Pectus Excavatum. The device is not intended to replace any chest wall structure. Although the device aims to widen the chest cavity by eliminating the characteristics of the deformity, it is not possible to determine in advance the magnitude of the change in the structure that will be observed initially or permanently in each case.

Before performing the surgery, the surgeon needs a complete knowledge about the implant (Pectus Up) and the surgical procedure (Taulinoplastia).

  • It is important to choose and place the right implant.
  • The procedure requires requires pre-operative planning in order to determine the size of the implant and its most convenient final position.
  • Holes in the xiphoid area should be avoided, as this would not allow sufficient screw-xiphoid gripping force to perform the lifting process.
  • Although the implant is mechanically fixed (threaded to the sternum), it is necessary to check that the central hole of the implant is placed concentrically to the hole in the sternum, and that its ends are correctly resting on the ribs.
  • In case of failure of removal of the deformit, the use of a second lift point or placement of the double lift implant may be required.
  • During the surgery and the implant placement, it is necessary to be very careful so that the screw does not excessively exceed the sternum .
  • When deeming the removal of the device, the surgeon should consider the risks of not doing so at the appropriate time.
  • The procedure of removing the device should be followed by a period of postoperative supervision to verify if a recurrence of the deformity occurs.
  • In cases where no signs of a proper change of shape are observed, the device shall be removed.
  • In the event of a recurrence of the deformity, secondary or alternative treatment may be necessary.
  • SURGICAL IMPLANTS MUST NEVER BE USED MORE THAN ONCE. They may have imperfections, defects or internal wear areas and may fracture or have a performance failure.