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Pectus Arcautum Surgery

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Experience Advanced Pectus Arcautum Surgery with Leading Specialists in Turkey

Turkey has established itself as a premier destination for medical tourism, particularly in Thoracic Diseases and Surgery. With its cutting-edge healthcare system, modern hospitals, and renowned surgeons, the country offers world-class treatments at a fraction of the cost found in many Western countries. Patients from around the globe seek out Turkey for affordable, high-quality surgeries, often achieving excellent outcomes. This combination of expertise and cost-effectiveness makes Turkey an increasingly popular choice for medical travelers.

Prospero Medical partners with top Thoracic Diseases and Surgery specialists in Turkey, ensuring that patients receive the best possible care for Pectus Arcautum Surgery. Our network of trusted healthcare providers utilizes state-of-the-art technology and advanced surgical techniques, making the process smoother and more efficient. Whether you need a consultation or a comprehensive treatment plan, Prospero Medical is here to guide you every step of the way. For more details on Thoracic Diseases and Surgery in Turkey, contact us for a free quote or consultation.

What does Pectus Arcautum Surgery involve ?

Pectus Arcuatum (Currarino-Silverman Syndrome) is a rare congenital thoracic deformity where carinatum deformity is seen on one side, while excavatum deformity may accompany on the other side. This condition is characterized by severe manubriosternal angulation, a short sternum, where the upper portion (manubrium) protrudes forward, resembling pectus carinatum, while the lower portion angles inward toward the heart, similar to pectus excavatum. Due to the forward angulation of the upper ribs (especially ribs 1-3), this deformity is sometimes referred to as the “horns of the steer.”

Pectus arcuatum is believed to result from the premature obliteration of the sternal sutures within the breastbone. These sutures are areas where separate sections of the sternum naturally fuse together during fetal development. Normally, this process allows the breastbone to transition from four separate pieces into a single, solid structure. However, in pectus arcuatum, this fusion occurs too early, leading to the characteristic abnormal curvature of the sternum.

Most patients with pectus arcuatum appear asymptomatic during childhood but may begin to experience progressively worsening shortness of breath with exertion and/or chest pain during adolescence. Initially, pectus arcuatum was thought to be strongly associated with congenital heart defects, such as ventricular septal defects (VSD) and atrial septal defects (ASD). However, this is not typically the case. The majority of patients with pectus arcuatum actually have structurally normal hearts despite the chest wall deformity.

Most patients with pectus arcuatum eventually require a modified Ravitch-type “open” procedure, often incorporating a double osteotomy (two cuts in the breastbone) to correct the deformity. Recently developed titanium plates and screws provide improved stabilization of the breastbone during surgery, leading to better long-term results. In some cases, a hybrid approach may be used, which involves removing the protruding upper ribs, partially cutting the breastbone, and placing a Nuss bar to push the lower portion of the breastbone forward.

Because pectus arcuatum is rare, the treatment plan is individualized. Your surgeon will discuss the various surgical options and recommend the most appropriate approach based on your specific anatomy and needs.

Who are the Eligible Candidates for Pectus Arcautum Surgery?

Candidates for pectus arcuatum surgery are typically individuals who experience functional or aesthetic concerns related to their chest wall deformity. Patients with a combination of pectus carinatum (protrusion of the upper sternum) and pectus excavatum (depression of the lower sternum) that affects their appearance or breathing.

How is Pectus Arcautum surgery performed?

The pectus arcuatum procedure is a specialized surgical approach that combines elements of both the Nuss procedure and an open technique to correct the complex chest wall deformity. The procedure is performed under general anesthesia and the standard hybrid procedure can take 3 to 5 hours while complex cases with extensive osteotomy or multiple bars may take up to 6 hours.

Preparation for the Surgery

Before undergoing surgery, patients are carefully evaluated to ensure they are suitable candidates for the procedure. A thorough medical history and physical examination are conducted to screen for connective tissue disorders. If significant findings suggest an underlying condition, patients may be referred for genetic evaluation.

All patients undergo a non-contrast CT scan of the thorax to assess the severity of the deformity and the chest wall anatomy. Additionally, an echocardiogram is performed to check for any associated cardiac anomalies. Routine preoperative pulmonary function testing is generally not required unless specific concerns arise.

For patients with a suspected metal allergy, a detailed history is taken, and in some cases, formal skin testing may be considered, though this is not routinely performed. These preoperative assessments help ensure a safe and effective surgical plan tailored to each patient’s individual needs.

Types of Anaesthesia

Pectus arcuatum surgery is performed under general anesthesia, ensuring the patient remains unconscious and pain-free throughout the procedure.

Techniques for the Procedure

Techniques used for the operation
The patient is positioned supine with the thorax slightly elevated using folded blankets for better access. The shoulders are supported and arms are tucked at the sides. Precise measurements and markings are made for both the anterior chest incision (for the open component) and the Nuss procedure (for thoracoscopic correction). A dissector is passed behind the sternum and temporarily left in place to lift the lower sternum while the open procedure is performed. A custom-bent metal bar (similar to the Nuss procedure) is selected and shaped to achieve the desired chest contour.
The location of the incision depends on the patient’s sex. For females, an inter-mammary incision is used for better cosmetic outcomes while in males, a short (4–5 cm) transverse incision over the sternum is preferred. The pectoralis major muscles are carefully lifted to expose the sternum and costal cartilages. Subperichondrial resection of the protruding upper costal cartilages (ribs 1-3) is performed to allow for proper reshaping.
A controlled osteotomy (bone cutting) of the sternum is performed at points of maximal angulation using a surgical oscillating saw. A wedge-shaped section of the anterior sternum is removed to correct the manubrial deformity and allow for a smoother chest contour. The Nuss bar is passed behind the sternum and flipped into position, pushing the lower sternum forward to correct the pectus excavatum-like depression. The chest is repositioned and stabilized, ensuring proper alignment of the sternum and ribs. All wounds are meticulously closed in layers for optimal healing and minimal scarring.

Recovery Facts with Pectus Arcautum Surgery

Most patients remain in the hospital for 3 to 5 days after surgery for pain management and monitoring.
Early ambulation (getting out of bed) is encouraged within 24 hours to prevent complications like blood clots and pneumonia.
Epidural or nerve blocks may be used in the first few days post-surgery.
Oral pain medications (e.g., NSAIDs, acetaminophen, or mild opioids) are gradually introduced as the patient transitions to home recovery.
Avoid lifting heavy objects or intense physical activity for at least 6 to 8 weeks.
Patients should refrain from contact sports or activities that put pressure on the chest for 3 to 6 months to prevent complications.
Patients are encouraged to use an incentive spirometer to improve lung function and prevent pneumonia.
Light activities and walking can resume within 1-2 weeks.
Most patients can return to school or work within 3-4 weeks, depending on discomfort levels.
Regular follow-ups with the surgeon are required to monitor healing and ensure proper chest wall stabilization.
If a Nuss bar is placed, it will typically remain for 2-3 years before removal.

Post-Operative Key Points with Pectus Arcautum Surgery

Chest swelling and bruising are common and gradually subside over a few weeks.
Mild asymmetry may persist but usually improves as healing progresses.
Numbness or tightness in the chest can occur due to nerve involvement and typically resolves within several months.
Signs of infection (redness, warmth, or drainage from the incision) should be reported immediately.
Long-term results are generally excellent, with a significant improvement in both chest appearance and respiratory function.
We conduct regular follow-ups with our patients for 6 months to 1 year post-operatively to closely monitor their recovery after returning to their home countries. It is crucial that patients report any concerns or complications directly to our clinic without delay before consulting any third-party specialists. This ensures timely medical guidance and optimal post-operative care.

Benefits of Having Pectus Arcautum Surgery in Turkey

Turkey is not only a global leader in advanced medical care, but it is also renowned for its rich history and warm hospitality, making it an ideal destination for specialized treatments such as pectus arcuatum surgery. Opting for this procedure in Turkey offers several advantages that may even surpass undergoing the same treatment privately in one’s home country.

Key Benefits of Pectus Arcuatum Surgery in Turkey:

Highly skilled surgeons with extensive experience in chest wall deformities.
State-of-the-Art Hospitals equipped with cutting-edge technology and high-precision surgical techniques.
Personalized Post-Operative care tailored to each patient, combined with Turkish hospitality.
Competitive pricing without compromising quality.
Access to specialized physiotherapy and rehabilitation programs to enhance healing and optimize long-term results.

With its world-class medical infrastructure and patient-centered approach, Turkey is an excellent choice for individuals seeking safe and effective correction of pectus arcuatum.

How much does Pectus Arcautum Surgery cost in Turkey?

Selecting the right clinic for pectus arcuatum surgery is a crucial decision that goes beyond flashy advertisements and social media promotions. With so many options available, it can be overwhelming to determine which clinic truly meets all essential medical and ethical standards. So, what factors should guide your decision?

Key Criteria for Choosing the Right Clinic:

The clinic should provide unbiased recommendations focused on your health and well-being, free from commercial motives.
A good clinic prioritizes building trust and rapport, empathizing with your concerns, and managing expectations realistically.
Your health and safety should always come first, with strict adherence to international medical protocols.

Factors Influencing the Cost of Pectus Arcuatum Surgery:

Reputation & Professional Standing of the Clinic
Complexity of the Procedure & Surgical Techniques Used
Experience & Credentials of the Surgeon
Quality of Aftercare Services & Follow-up Protocols
Transparency in Pricing & Clear Terms of Service

While cost can be a significant factor in choosing to undergo surgery abroad, prioritizing price over quality without verifying whether a clinic meets essential medical standards can lead to serious complications and unexpected expenses in the long run.

As Prospero Medical, we are committed to a transparent pricing policy, ensuring that every service component is clearly outlined to help patients make informed decisions about their treatment. Our pricing structure is carefully calculated to reflect, the level of medical expertise provided, the credentials and experience of our surgeons, the advanced technology and techniques used in surgery, and our comprehensive aftercare and long-term patient support.

With a long-established presence in the industry, Prospero Medical prioritizes quality, safety, and professionalism, delivering top-tier medical services at the fairest and most realistic price. Our goal is to provide world-class pectus arcuatum surgery in Turkey while ensuring patient satisfaction, safety, and optimal surgical outcomes.

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