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Top Surgeries in University Hospital in Motol: Case Study of Young Boy with Pectus Excavatum

Written by Czech Hospital Placements Program on Friday, February 24, 2017

Excavatum pectus, University Hospital in Motol, Top Surgeries, Case Study, Patient Case

CHP Program partner - University Hospital in Motol - is a top and well-known healthcare facility. We bring you the news about interesting surgeries and procedures you may witness. Pectus excavatum (PE) is the most common chest wall deformity caused by the abnormal growth of costal cartilage, causing that the breastbone caves in. The disease occurs in one out of 500 live babies, while boys suffer from it 4 times more often than girls. How do the surgeons prepare for such operation? What is their solution of this health condition? Are the results visible after the surgery?

Severe forms of PE can significantly affect the quality of life of adolescents and, in some cases they are indicated for surgery. When is condition is serious, PE can look like as the center of the chest was scooped out and leaving a deep dent. Nowadays, PE surgery is performed by mini-invasive approach and technique MIRPE (minimally invasive repair of pectus excavatum). That involves the gradual chest wall remodeling by using a metal plate located under the breastbone.

The plate is implemented through small lateral (side) cuts on the chest, left there for three years and finally it leads to straightening the chest’s shape.

The following pictures show the procedure step by step as it was performed on a teenage boy in the University Hospital in Motol, Pediatric Surgery of the 2nd Faculty of Medicine, Charles University, under the supervision of the specialized center’s head - professor MUDr. Michael Rygl, PhD. 

In the University Hospital in Motol this procedure has been provided to 390 patients already.

1. Visualisation

3D visualisation in preoperative stage

2. Getting our patient ready

Hospital clown does her best to disctract our patient before the surgery

3. Anaesthesia

2222Chest before surgery

4. Preparation

Metal plate for straightening of chest

5. OR Team

Surgical team in the OR in action 

6. Non-invasive solution

Implementation of the metal plate

7. Immidiate results right after the surgery

The results are visible immediatelly 

As you can see, people who work in the University Hospital in Motol are real professionals. Good news is that you have a chance to shadow them during their daily job tasks and learn every minute. Have a look at the departments and find the one that is the best fit for you. We provide both surgical and non-surgical specialties in the variety of fields

Photos Copyright University Hospital in Motol (@fnmotol)

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