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Modified Ravitch repair for pectus excavatum or carinatum

Modified Ravitch repair for pectus excavatum or carinatum
In the modified Ravitch procedure, an Adkins strut is used to internally support and brace the pectus repair. It is placed across the lower anterior chest, posterior to the sternum and costal cartilages, with the tip emerging on each side through a small incision in the perichondrial sheath. The strut is attached to the anterior surface of the appropriate rib on each side with heavy absorbable suture. The xiphoid and each of the deformed costal cartilages are reattached to the sternum with nonabsorbable sutures. The lateral ends of the costal cartilages are sutured back to the ribs. The periosteum is sutured over the wedge osteotomy. Finely minced segments of the cartilage chips are placed in all sites where the costal cartilage is reattached and around the sites where the strut emerges from the chest.
Graphic 75569 Version 10.0

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