This technique has represented an important technological innovation in the field of thoracic surgery for the treatment of this pathology, since it is an extrathoracic method that considerably reduces the complexity and risks of the intervention. Recovery time is shorter and patients treated with this new technique highlight the low presence of pain and the quick return to normal life.
Pectus Excavatum is the most frequent congenital deformity of the chest cavity, characterized by a concave depression of the sternum, better known as funnel chest. Without a doubt, the hallmark of Pectus Excavatum is the sunken appearance of the sternum.
It is a progressive disease that may be visible from birth, but usually becomes more evident as years go by.
Pectus Excavatum may become evident in different degrees of affectation. There are patients with a mild deformity, practically asymptomatic, but with aesthetic implications, as well as patients with a moderate or severe affectation, who suffer from important physical problems and socio-psychological alterations.
This pathology usually appears in early childhood and when it is severe, it can have serious effects on the patient, since the bone deformation can end up causing lung problems, making breathing difficult and causing other respiratory symptoms. Heart problems can also occur, leading to a lack of adaptation to physical activity. Another common condition is a bad position of the spine which, in some cases, comes as an actual curvature or scoliosis.
Besides, the patient with Pectus Excavatum may suffer from psychological affections that may lead to a tendency to isolation and loneliness, which may become very relevant. The appearance that this pathology confers to the patients’ chest may greatly condition their quality of life, making it difficult to play sports or recreational activities, and even causing self-esteem problems, especially among teenagers.
The pediatrician or family doctor is usually the first physician asked by patients to request information about Pectus Excavatum. If the patient is under 8 years old and asymptomatic, additional tests and surgery are not usually performed. From this age on, it is important to do an annual check-up and see if the defect is progressive. If the defect increases or symptoms related to Pectus Excavatum appear, it should be assessed by a pediatric or thoracic surgeon, in order to receive the best treatment for each particular Pectus Excavatum case.
Many of the people affected by this pathology lead a totally normal life, without any kind of physical or psychological affectation. However, since it is a pathology that tends to be exacerbated with age, it is very important to have an early assessment by a surgeon so that the deformity does not compromise the organs of the thoracic cavity or there is no significant psychological affectation.
Spontaneous regression or any partial improvement of Pectus Excavatum symptoms is uncommon.
Surgical techniques evolve, new modifications are introduced and new innovative procedures emerge.
Currently there are various techniques for the treatment of Pectus Excavatum, both surgical and non-surgical.
The traditional techniques used in the surgical approach of Pectus Excavatum are invasive and the thoracic cavity is entered to correct the malformation, with the risks that this may entail.
Nowadays there is a new treatment for Pectus Excavatum, the surgical method called Pectus Up, which gives the opportunity to correct this pathology in a minimally invasive way and avoiding intrathoracic surgery, as it happens with previous surgical techniques.
The new technique ―the Pectus Up Surgery Kit― consists of placing an implant on top of the sternum, through a small incision in the chest, which pulls it upwards to achieve a more anatomically correct position. Subsequently, the implant is fixed to the sternum and rib cartilages to maintain this position after the intervention.
There are currently two kit models: Pectus Up Surgery Kit 1 and Pectus Up Surgery Kit 2.
The Pectus Up Surgery Kit 1 was developed in 2012, in collaboration with the Corporació Sanitària Parc Taulí de Sabadell (Barcelona).
The Pectus Up Surgery Kit 2 has been developed throughout the year 2021, after many years of experience with surgeons specialized in the surgical practice of Pectus Excavatum with the kit 1. This new kit offers the same therapeutic solution as the kit 1, expanding the indication of this treatment to a more extensive type of patients.
Avoid intrathoracic surgery
The new procedure allows elevation of the sternum without the need to insert steel bars into the thoracic cavity or to remove part of the ribs to reduce the sinking of the sternum.
As it is an extrathoracic procedure, it is very painless, involves a short convalescence period and is free of serious complications.
The implant is removed between 3 and 5 years after the surgery, although it can remain in the chest for much longer. The procedure is very simple and risk-free.
The Pectus Up opens new perspectives in the surgical treatment of the Pectus Excavatum. On the one hand, for patients, since the age range is extended to undergo surgery, even more with the development of kit 2, and on the other hand for surgeons, since the surgical process carries low complexity.