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Pectus Excavatum Surgery

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Experience Advanced Pectus Excavatum 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 Excavatum 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 Excavatum Surgery involve ?

Pectus excavatum, also known as funnel chest or concave chest, is a congenital condition where the breastbone appears sunken into the chest. It is caused by an abnormal growth of the cartilage connecting the ribs to the breastbone (sternum). This leads to a depression in the sternum, giving the chest a “sunken in” or “funnel chest” appearance. Pectus excavatum is often visible soon after birth, but its severity usually increases during the adolescent growth spurt. It is more common in boys than in girls. Many adults have also benefitted from pectus excavatum repair. The exact cause of pectus excavatum remains unkown, but it is believed to have a genetic component since it often runs in families.

Pectus excavatum can vary in severity, ranging from mild to severe. Individuals with a mild forn often do not have symptoms, while those with moderate to severe cases may have shortness of breath, fatigue, exercise intolerance, and chest pain. In severe cases, the condition can compress the heart, affecting its function. Pectus excavatum may be associated with scoliosis in some children or connective tissue disorders such as Marfan syndrome. The appearance of the chest can impact self-esteem, leading to psychological and emotional challenges.

We recommend close monitoring to assess whether treatment is necessary. If pectus excavatum causes physical discomfort or social concerns, we develop a personalized treatment plan based on your child’s anatomy and preferences. For younger children who can commit to daily use, we may recommend a vacuum bell therapy device and monitor their progress over time. If the condition is severe, the child is older, or vacuum bell therapy is ineffective, we may consider surgical correction as an option.

When pectus excavatum requires surgery, our surgeons typically recommend operating during the teen years, when the chest wall is still flexible enough for optimal correction. We also recommend cryoablation for pain management. IT temporarily freezes the nerves to block pain after surgery and can help with recovery and decrease postoperative pain for 4 to 6 weeks.

Who are the Eligible Candidates for Pectus Excavatum Surgery?

Eligible candidates for pectus excavatum surgery typically include individuals with moderate to severe cases where the chest depression affects heart and lung function or causes significant psychological distress. Ideal candidates are:

Teenagers and young adults (usually between ages 10-20) since the chest wall is still flexible.
Patients experiencing symptoms such as shortness of breath, chest pain, fatigue, or exercise intolerance.
Individuals with a severe Haller index (typically above 3.2), indicating significant chest compression.
Patients without contraindications such as uncontrolled medical conditions or severe allergies to surgical materials (e.g., nickel).
Those with psychological concerns, including low self-esteem or body image issues related to the deformity.

A thorough evaluation, including imaging tests and lung or heart function assessments, helps determine if surgery is the best option.

How is Pectus Excavatum surgery performed?

As Prospero Medical, we offer two different treatment options for pectus excavatum. The Nuss procedure where a concave steel bar is placed under the sternum and the Ravitch method, which is a better option if your child has a twisting (torsion) of the chest.

Preparation for the Surgery

Before surgery, it is important for the patient to provide their medical history, including any past medical conditions, as they may impact treatment and recovery. A detailed family medical history helps identify any hereditary conditions that could be relevant. Additionally, a complete list of current medications and dietary supplements ensures there are no potential interactions or complications during surgery and post-operative care.
Before the surgery is performed, pre-operative tests and diagnostic imaging tests are performed to provide a detailed assessment of the condition. These include chest X-ray, electrocardiogram (ECG), an echocardiogram, lung function tests, exercise function test and a chest CT scan for measuring the Haller index, which helps determine the severity. A CT scan can also reveal any heart displacement or compression. Pulmonary function tests (PFTs), cardiopulmonary exercise test (CPET), or an echocardiogram may be used to assess heart and lung compression.
Allergy testing is also necessary to determine if your child has a sensitivity to nickel or chromium, small components found in the stainless steel bar used in the procedure. If so, a custom-made titanium bar will be used.

Types of Anaesthesia

For pectus excavatum surgery, general anesthesia is typically used, often combined with regional anesthesia (such as epidural or nerve blocks) to help with post-operative pain management.

Techniques for the Procedure

RAVITCH METHOD

The Ravitch procedure is a surgical technique used to correct pectus excavatum, a condition where the chest wall is sunken due to abnormal growth of the rib cartilage. Unlike the minimally invasive Nuss procedure, the Ravitch method is an open surgery that involves the direct removal of deformed cartilage and repositioning of the sternum.

For the Ravitch Procedure, the surgeon makes a horizontal incision (often across the mid-chest) to access the sternum and rib cartilages. The Skin and muscle layers are carefully separated to expose the deformed costal cartilages (the cartilage connecting the ribs to the sternum). The abnormally grown rib cartilages that cause the chest depression are partially removed, while preserving the rib perichondrium (a layer that allows cartilage regeneration). The sternum, now freed from the pressure of the cartilage, can be repositioned. The sternum is carefully elevated into a normal position. A supportive bar or strut (such as a metal plate or mesh) may be placed behind the sternum to maintain its new position while healing. In some cases, temporary sutures or wires are used to stabilize the sternum. The muscle and skin layers are sutured back carefully to promote healing. A drain may be placed temporarily to remove excess fluids and reduce swelling.

NUSS METHOD

The Nuss procedure is a minimally invasive surgical technique used to correct pectus excavatum (also known as funnel chest). This condition occurs when the breastbone (sternum) is sunken due to abnormal rib cartilage growth. Unlike traditional open surgery, the Nuss procedure requires only small incisions and relies on a curved metal bar to reshape the chest.
During the procedure, the surgeon makes two small incisions (approximately 2-3 cm long) on either side of the chest. A thoracoscope (a small camera) is inserted through one incision to provide a clear, internal view of the chest cavity. This ensures precise placement of the corrective bar while minimizing surgical risks.
A curved metal bar, custom-shaped to fit the patient's chest, is inserted under the sternum using a tunneling technique. Once positioned, the bar is rotated 180 degrees, gently lifting the sunken chest into a normal shape. In some cases, one or two additional bars may be inserted for optimal correction, particularly in severe or asymmetrical cases.
To prevent movement, the bar is secured to the ribcage using surgical stabilizers or absorbable sutures. After confirming proper placement, the thoracoscope is removed, and the incisions are carefully closed with dissolvable sutures. A small drainage tube may be temporarily placed to remove excess fluid and prevent complications such as fluid buildup.

Recovery Facts with Pectus Excavatum Surgery

After surgery, your child will stay in the hospital for a few days to recover. During this time, they will begin physical therapy, which is crucial for:

Regaining strength and mobility
Expanding lung capacity
Promoting bowel function
Preventing post-operative complications

Once discharged, a follow-up appointment will be scheduled in the general surgery clinic within 2-4 weeks. During this visit, the surgeon or nurse practitioner will review pain management, activity restrictions, and provide guidance for home care.

While not mandatory, it is strongly recommended that your child wear a Medical Alert bracelet after surgery. The bracelet should be inscribed with: “Steel bar in chest, CPR more force, cardioversion ant/post placement.”

Post-Operative Key Points with Pectus Excavatum Surgery

Most patients stay in the hospital for 3-5 days for pain management and early mobilization.
Pain is managed using epidural anesthesia or IV medications, followed by oral pain relievers.
Early movement is encouraged to prevent complications like lung infections or blood clots.
The bar is typically removed after 2-3 years in a minor outpatient procedure.
The stainless steel bar should not set off metal detectors, but a titanium bar may trigger alarms at the airport. If needed, documentation can be provided.
Contact sports, heavy lifting, and strenuous activities should be avoided for the first 3-6 months.
We provide regular follow-ups for our patients after pectus excavatum surgery, monitoring their recovery for up to 6 months to 1 year after they return to their home countries.
It is crucial that patients report any concerns or complications directly to our clinic as soon as they arise, before consulting any third-party specialists. This ensures that our medical team can provide the most appropriate guidance and intervention, helping to optimize recovery and prevent potential complications.

Benefits of Having Pectus Excavatum Surgery in Turkey

The benefits of having Pectus Excavatum surgery in Turkey

Turkey is not only a global leader in various medical fields but also a destination renowned for its rich history, warm hospitality, and advanced healthcare system. This combination makes it an ideal choice for individuals seeking pectus excavatum surgery. Many patients find that undergoing treatment in Turkey offers significant advantages, often surpassing the benefits of private healthcare in their home countries.

Key benefits include:

Turkey boasts highly skilled surgeons with extensive experience in pectus excavatum correction, supported by a well-established medical education system.
Private hospitals are equipped with cutting-edge technology, ensuring precision and safety in minimally invasive procedures like the Nuss procedure.
Patients receive personalized post-operative care, combined with the renowned warmth and hospitality of Turkish medical staff.
Costs in Turkey are significantly lower than in many Western countries, without compromising on quality.
Patients can benefit from specialized post-surgical physiotherapy programs to aid in breathing function and physical rehabilitation, ensuring a smoother and faster recovery.

With a reputation for excellence in surgical procedures and a holistic approach to patient care, Turkey continues to be a top destination for pectus excavatum correction, offering both world-class treatment and an unparalleled recovery experience.

How much does Pectus Excavatum Surgery cost in Turkey?

Selecting the right clinic for pectus excavatum surgery is a crucial decision that requires careful consideration. With an abundance of marketing campaigns and social media promotions, it can be challenging to identify a clinic that truly meets all essential medical and ethical standards. So, what should guide your decision-making process?

Key factors to consider include:

The clinic should provide truthful, patient-centered recommendations rather than being driven by commercial interests.
A strong doctor-patient relationship is essential, with the clinic taking the time to understand your concerns, manage expectations, and provide compassionate care.
The patient’s health should always be the top priority, ensuring the highest standards of care, safety, and ethical medical practices.

When evaluating the cost of pectus excavatum surgery, it’s important to assess:

The Reputation of the Clinic: A well-established clinic with a strong track record in pectus excavatum correction is a key indicator of quality.
Surgical Complexity: The severity of the condition and whether a single or multiple bars are required will influence the overall cost.
Surgeon’s Credentials & Aftercare Quality: The expertise of the surgical team and the quality of post-operative follow-up care significantly impact the success of the procedure.
Transparency in Terms & Conditions: Clearly defined policies regarding clinical responsibilities, post-surgical care, and patient rights ensure a smooth and stress-free experience.

While cost is a factor in choosing a clinic, prioritizing price over quality without thorough research can lead to long-term complications and higher costs for corrective procedures. As Prospero Medical, we maintain a transparent pricing policy, ensuring that every service component is clearly outlined. Our pricing reflects the expertise of our surgeons and medical team, high-quality post-operative care, and patient support and guidance. With years of experience in pectus excavatum surgery in Turkey, our mission is to provide world-class medical services at a fair and realistic price, ensuring patient safety, comfort, and the best possible outcomes.

Why Choose Prospero Pectus Excavatum Surgery?

Prospero Medical partners with top thoracic specialists in Turkey who use state-of-the-art equipment and advanced surgical techniques. By focusing on patient care, we ensure a comfortable and smooth experience throughout your surgery and recovery process. We work closely with you to ensure you receive the highest standard of care, from pre-surgery consultations to post-operative recovery. For more information on the surgery in Turkey, contact us for a free quote or consultation at: