Bioabsorbable weave technique for repair of pectus excavatum

Abstract

The risk of recurrent deformity after repair of pectus excavatum has led many surgeons to use some form of posterior support. Various methods have been developed, including the use of stainless steel struts, Kirschner wires, autologous ribs, and mesh. When metallic supports are used, uncommon yet serious complications may occur. Reported adverse consequences of these devices have included migration into the peritoneal cavity, laceration of the phrenic artery and hemorrhage, and migration through the pericardium causing tamponade, valvular damage, septal perforation, and thrombus formation with systemic embolic events. [1][2][3][4][5] Most surgeons remove these devices at a later date, thereby necessitating a second operation.We have developed a bioabsorbable weave technique that

Surgical correction of pectus excavatum using a rib graft strut following excision of costal cartilages

“…Most of the structures used as struts in the past were Kirschner's wires, sewing of sternum with steel sutures, metal (stainless steel) struts, resin strut, seagull wing prosthesis, Steinman pins, Rehbein splint, a vascularized rib strut, Marlex mesh, bioabsorbable polydioxanone weave, and bioabsorbable poly-L-lactide plaque. [216171819202122] The shortcoming of most of these techniques was the cost of the strut and the requirement of a second surgery for the removal. Besides, absorbable alternatives are very costly and not readily available.…”