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Pre and post operative care in the new surgical treatment of the Pectus Excavatum: Pectus Up

Preparation for surgery with Pectus Up Surgery Kit

There are some issues to be borne in mind before the patient undergoes a surgical treatment for Pectus Excavatum. As in all anesthetic surgery, this operation entails certain risks, which will be  properly explained by the surgeon. It is also necessary to take into account some warnings, of which the following two should be highlighted:

  • The patients should inform the surgeon of the medications they are taking since some of them could interfere with anesthesia or cause complications. Drugs like aspirin or ibuprofen can cause bleeding.
  • Tobacco contributes to the development of lung and heart problems, among others. It also hinders wound healing. The tissues require oxygen for proper healing and tobacco significantly reduces the amount that they receive.

Post-operative care after Pectus Excavatum surgery with Pectus Up

POST-OPERATIVE CARE AND SUPERVISION

Post-operative care and supervision are important when the patient has undergone surgery for Pectus Excavatum.

Rest time after the surgery:
The rest period is around one week after the surgery. Relative rest of an approximate duration of 15 days is recommended.
This will consist of resuming the activities of daily life progressively, using a good posture, avoiding movements that cause pain, and refraining from sports activities.
Do not make sudden torso rotations, or lift weights or carry backpacks for at least one month.

Activities after the surgery:
Metallic fixation devices or thoracic implants in general are not capable of withstanding the activity levels or the loads that a normal and healthy chest wall does.
In the case of not following the instructions recommended by the surgeon, the Pectus Up can become loose or move if it is supporting weights or loads, as wells very intense activities, or if the patient suffers traumatic injuries.
The activities that can be performed  will always depend on the evolution of each patient, bearing in mind that the recovery is so much faster the younger the person is.
Failure to follow postoperative instructions could lead to complications.

Cautions:

  • Patients must be careful with personal hygiene to avoid possible infections.
  • The wound cannot be touched or wet. In addition, the dressing should not be removed until the first examination by the surgeon.
  • It is not advisable to be in a lying position for a long time.
  • Patients should sleep on their back and avoid lying on their side overnight (at least for the first 3 months).
  • Abnormal or rigid positions that can avoid pain beforehand should not be used, since they may be the cause of other subsequent alterations.
  • Patients must keep a good position of the torso and prevent to expose themselves to risky situations.
  • Crowded environments, violent physical contacts and situations of risk must be avoided.
  • Relative rest must be taken during the first 15 days. Ambulation and normal life, using a good position of the torso.
  • Patients can go to school, university or their usual work from the first examination by the surgeon, provided that they fell well and surgeon deems it appropriate.
  • Do not make torso rotations and lift weights or carry backpacks for at least one month.
  • Sports activity can be resumed from six months after the surgery.
  • Patients shall refrain from high-risk sports or those that involve movement of the torso such as golf, swimming (backstroke stuyle), tennis, etc., for a period of one year, since they involve an extensive movement of the torso.

POSSIBLE ADVERSE EFFECTS AFTER A PECTUS UP SURGERY

  • The implant or any of its components can be loosened, moved or broken.
  • Reactions due to sensitivity to metals or allergic reaction to the implant material.
  • Pain, discomfort or abnormal sensation due to the presence of the implant.
  • Irritation, wound infection.
  • General risks of surgery under general anesthesia (permanent injuries, death…)
  • Incomplete or inadequate correction of the deformity or its recurrence, before or after removal of the implant.
  • Implant removal due to any of the above points.

PECTUS UP IMPLANT REMOVAL

After the patient has undergone a Pectus Excavatum surgical treatment with the Pectus Up method, the implant will be removed at the time the chest has consolidated the desired shape. It will always depend on the degree of the Pectus Excavatum suffered by the patient, on the evolution and on the age, among other factors.

The removal of the implant is made with a very simple intervention and is usually performed without the need for hospitalization in adolescent and adult patients. Younger patients often stay overnight in the hospital for greater security.

Once the implant is removed, patients can lead a normal life at the social, academic and professional levels.

All these recommendations are general, they will always depend on the evolution of each patient and will always be subject to the criteria of the surgeon who has performed the surgery. See frequently asked questions.

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