How to Correct Pectus Carinatum After Surgery: Solutions and Options - Surgery

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Pectus carinatum, commonly referred to as "pigeon chest," is a condition characterized by an abnormal protrusion of the sternum and ribs. It can occur due to various reasons, including congenital factors, trauma, or as a complication following surgery, such as abdominal surgeries that may lead to changes in the thoracic structure. In your case, it seems that the pectus carinatum may have developed or worsened after your bowel surgery, possibly due to changes in abdominal pressure or muscle tone.


Understanding the Condition
After abdominal surgery, particularly one involving the intestines, it is not uncommon for patients to experience changes in their abdominal and thoracic dynamics. This can lead to increased intra-abdominal pressure, which may push the diaphragm upwards and affect the rib cage's position. If the abdominal muscles are weakened or if there is significant scarring, this can further exacerbate the protrusion of the ribs.


Non-Surgical Options
1. Physical Therapy: Engaging in a structured physical therapy program can help strengthen the muscles around the chest and abdomen. A physical therapist can design exercises that focus on improving posture, strengthening the core, and enhancing overall muscle tone, which may help in reducing the prominence of the ribs.

2. Bracing: In some cases, a custom-made brace can be used to help correct the position of the chest wall. This is more commonly used in children and adolescents but can be considered for adults as well. The brace applies pressure to the chest and can help reshape the rib cage over time.

3. Postural Training: Improving posture can also play a significant role in how the chest appears. Exercises that promote good posture, such as yoga or Pilates, can help align the spine and rib cage better, potentially reducing the appearance of pectus carinatum.


Surgical Options
If non-surgical methods do not yield satisfactory results, surgical intervention may be considered. Surgical options include:
1. Pectus Carinatum Repair Surgery: This procedure involves reshaping the chest wall and can be done using various techniques, such as the Ravitch procedure or minimally invasive techniques. The choice of surgery depends on the severity of the condition and the patient's overall health.

2. Timing of Surgery: If surgery is deemed necessary, the timing is crucial. It is generally recommended to wait until the body has fully healed from the previous surgery, which may take several months. A thorough evaluation by a thoracic surgeon is essential to determine the best course of action.


Conclusion
In summary, addressing pectus carinatum after surgery involves a combination of non-surgical and surgical approaches. It is essential to consult with a healthcare professional, such as a thoracic surgeon or a physical therapist, who can provide a tailored treatment plan based on your specific condition and needs. They will assess the severity of your pectus carinatum, the impact of your previous surgery, and your overall health to recommend the most appropriate interventions.
If you are experiencing significant discomfort or if the condition is affecting your quality of life, it is advisable to seek medical advice sooner rather than later. Early intervention can often lead to better outcomes and may prevent further complications.