There are treatments out there for PE, some are surgically based and some non surgical


Nuss Procedure - Minimally Invasive


The Nuss method is a minimally-invasive system, invented in 1987 with the support of Dr. Donald Nuss for treating pectus excavatum. He developed it at children's hospital The King's Daughters, in Norfolk, Virginia. The operation usually roughly takes two hours.

By means of two small incisions within the part of the chest, an introducer is pushed alongside posterior to the sternum and ribs, and anterior to the center and lungs. Then a concave chrome steel bar is slipped underneath the sternum, via the incisions within the aspect of the chest. A 3rd, smaller incision is made to insert a thoracoscope (small digital digital camera) used to support marketing consultant the bar. Taller sufferers, older patients, or victims requiring extensive correction would receive two or more bars. All bars may be positioned by means of two incisions or additional incisions is also made. The bar is then flipped, and the sternum pops out. To aid the bar and keep it in area, a metallic plate called a stabilizer can be inserted with the bar on one part of the torso. PDS sutures can also be used moreover to the stabilizer. The stabilizer matches across the bar and into the ribcage. The bar and stabilizer are secured with sutures that dissolve in about six months.
Nuss Procedure


Some surgeons have had pleasing results making use of the mighty pericostal sutures, without utilising stabilizers. For older children who've further ossified bones, yet another alternative is to make an incision throughout the sternum so the bar is attached with a wire to the sternum to avoid bar displacement. Older kid's bones don't conform as easily to the bar, as a consequence increasing the danger of bar displacement, so the wire attaching the bar straight to the sternum may just help avert a second surgical process to right bar displacement.

Finally, the bar is secured with muscular tissues that regrows in the course of the recuperation time. Even though the Nuss procedure was initially just for younger patients, the Nuss method is now widely used on sufferers in their thirties and forties with good results.

Postoperative evaluation suggests a massive growth in pulmonary participate in reports and a excessive proportion of sufferers record enhancements in health and an broaden in pastime tolerance.

Although this system is classified as "minimally invasive", the recovery is not minimal. Post-operative pain control can be quite challenging, thus requiring multi-modal pain management such as epidural. Nurses who attend these patients post operation generally concur that this operation is one of the more difficult recoveries of any operations for children.


Ravitch Procedure


The operation includes elimination of the ends of the ribs as they connect to the sternum within the depressed self-discipline. The lining membrane around the rib is left in location. The sternum is then damaged horizontally at the location where it turns downward and is straightened out. It's held in this position using stitches, the adjoining ribs and always a metallic bar or strut which goes underneath the sternum to preserve it in an outward role. This operation regularly is referred to as the Ravitch system, named for the health practitioner who developed it.

Like a few operation, there is some postoperative soreness, which is dealt with with either intravenous painkillers or an epidural catheter. An epidural catheter is most likely used for ladies undergoing childbirth for comfort of labor pains. Mostly, the patient is given oral soreness medications for one to three days following the operation.

There were only a few issues of this operation. There have been no occasions wherein the sufferer required a blood transfusion, although a sample of blood is taken as a precaution. Infection is infrequent but every now and then, a sufferer develops a fluid assortment beneath the epidermis requiring removing with a syringe.


Bio-Alcamid


Is made up of 96% water and 4% polyalkylimide, which guarantees softness to the touch consistent with the surrounding tissue. Its also not as unsightly as the silicone implants they used to use. It also can be taken out very easily if need be.


Exercise


Although I don't believe exercise would fix PE especially in the extreme cases it can help with the appearance of PE. Have a look at the video page for helpful exercise videos.


Counseling


I don't have to tell anyone reading this the effects PE has on you mentally especially through your teenage years. Talking to someone about it could help you deal with those issues a little better.


Magnetic Mini-Mover Procedure


The Magnetic Mini-Mover Procedure (3MP) is a novel minimally invasive method of correcting pectus excavatum developed at UCSF Pediatric Surgery. With this method the deformed costal cartilages are gradually reformed by a controlled gradual outward "pull" on the depressed breastbone. This is achieved with an outpatient surgical procedure and without the need for painful implanted chest wall struts. Two magnets, one implanted inside the chest and attached to the sternum and the second one outside the chest wall and attached to an external brace, are used together to create a magnetic force field which applies a controlled sustained pull.

This treatment is still in its trial stage so it could be a while before we start hearing about results. But I am excited about this treatment as you could see how it could work and it would be less invasive than Ravitch and Nuss.