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Pectus Up

What is the Pectus Up Surgery Kit?

In 2012, Ventura Medical Technologies, together with the Corporació Sanitària Parc Taulí de Sabadell (Barcelona), developed a new surgical method called Pectus Up (kit 1), which offers a minimally invasive extrathoracic solution for the Pectus Excavatum correction.

In 2021, Ventura Medical Technologies, after years of experience with surgeons specialized in the chest wall, has developed a new Pectus Up model (kit 2) that offers the same therapeutic solution as kit 1, expanding the indication for this treatment to a more extensive typology of patients.

The new surgical technique, the Pectus Up Surgery Kit system to fix the Pectus Excavatum was first performed in 2012 on a pediatric patients at this hospital in Barcelona. The results have been very satisfactory since the outset and more and more professionals are adopting this innovative method of extrathoracic surgery.

Based on the experience and contribution of the different surgeons who have opted for this technique over the years, improvements have been made to the kit to ease that older adult patients with a more pronounced degree of asymmetry in their Pectus Excavatum can benefit from this technique. The new model is the Pectus up Surgery Kit 2. The first interventions have been performed in Spain and Europe with an excellent acceptance by surgeons as well as patients satisfaction.

The Pectus Up represents an important technological innovation in the world of chest surgery for the treatment of the Pectus Excavatum, because it is a very non-invasive method that considerably reduces the complexity and risks of the surgery, which means less time of recovery and very satisfactory results.

Pectus Excavatum patients who have been treated with the Pectus Up method highlight the low presence of pain and quick return to daily life.

BENEFITS OF TREATING PECTUS EXCAVATUM WITH THE PECTUS UP SURGERY KIT

  • Minimally invasive, as only a small incision is made to insert the implant.
  • Extrathoracic procedure, as the plate is implanted in the subpectoral tissue
  • Minimal blood loss: as a single incision is madre and being extrathoracic, the patient suffers a minimal blood loss compared to other reconstructive surgery procedures.
  • No risk of damaging intrathoracic organs: as the surgical method used does not insert any material into the chest for correction, there is no risk of damaging vital organs.
  • Short duration of the surgical intervention, as the complexity of the surgery is reduced.
  • Short hospital stay: as it is a much less severe intervention, the patient stays few days in the hospital.
  • Postoperative in transitional care: as it is a very little invasive method, the patient does not require ICU care.
  • Reduction of the problems related to the Pectus Excavatum by avoiding the pathologies that are associated with the evolution of the deformity.
  • Quick incorporation into everyday life. The surgery is not very painful and requires little recovery time.
  • Adaptation to growth: by fixing the implant on the outer side of the sternum, it does not limit bone growth in the rib cage and allows normal development without the need to modify or remove the implant.
  • Possibility of cardiorespiratory resuscitation maneuvers. In the case of cardiac arrest, these maneuvers can be performed.

INDICATIONS

General indications

In pediatric patients, surgical repair of Pectus Excavatum used to be recommended in symptomatic cases the earlier the better. However, it has recently been shown that the results are not as positive in very young children and, for this reason, currently advises are to delay the age of surgery, establishing the optimal age for patients between 12 and 16 years old.

Main criteria for the indication of a Pectus Up in a patient with Pectus Excavatum:

Type of patients:

  • Age: As in any surgical technique for the Pectus Excavatum and to avoid other anomalies as a consequence of the pathology itself, the ideal age would range between 12 and 16 years old. The Pectus Up being an extrathoracic product and anchored only in the central area of ​​the sternum, can be performed in patients of different ages:
    • Childhood and prepubertal age: since the implant does not prevent the normal growth of the thorax and even though the ideal age is the one referred to in the previous paragraph, the surgery can be performed on patients from 8 years old on.
    • Adolescence
    • Adults.
  • Asymmetry
  • Haller Index: it is recommended that Haller Index is equal to or greater than 3.2, although this index should not be the only or main value for the indication of a PE in general. Other indices such as the Correction Index should be assessed.
  • Other indexes: IRM, 3D external scan, SDI.
  • Patients with Marfan syndrome.

 

POSSIBLE SIDE EFFECTS

The side effects that may occur after the surgery are:

  1. Reactions due to metal sensitivity: allergic reaction to the implant material.
  2. The implant or any of its components may loosen, shift, or break.
  3. Pain, discomfort, or strange sensation due to the presence of the implanted device.
  4. Surgical trauma.
  5. Skin irritation or wound infection.
  6. Pneumothorax in case of excessive perforation of the breastbone.
  7. Incomplete or inadequate correction of the deformity or its recurrence, before or after the removal of the implant.
  8. Implant removal may be necessary if the patients experiences side effects due to one of the above points.