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Citation:
Jones J, Iqbal S, Knipe H, et al. Ravitch procedure. Reference article, Radiopaedia.org (Accessed on 24 Apr 2024) https://doi.org/10.53347/rID-13665
The Ravitch procedure is one of the corrective surgical treatments for pectus excavatum and pectus carinatum. The costal cartilage is removed and the sternum detached before inserting a small bar underneath the sternum to hold it in the desired position. The bar is left implanted until the cartilage grows back; this typically take about 6 months. The bar is subsequently removed in a simple out-patient procedure.
Complications of Ravitch procedure includes:
While the Ravitch technique is not widely practised because of its invasiveness, it is helpful in certain clinical sitations:
- in older patients, where the sternum has calcified
- asymmetrical deformity
- failure of the Nuss procedure
See also
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1. Kim HK, Choi YH, Shim JH et-al. Modified Ravitch procedure: using a pectus bar for posttraumatic pectus excavatum. Ann. Thorac. Surg. 2007;84 (2): 647-8. doi:10.1016/j.athoracsur.2007.03.051 - Pubmed citation
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2. Nasr A, Fecteau A, Wales PW. Comparison of the Nuss and the Ravitch procedure for pectus excavatum repair: a meta-analysis. J. Pediatr. Surg. 2010;45 (5): 880-6. doi:10.1016/j.jpedsurg.2010.02.012 - Pubmed citation
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3. Antonoff MB, Erickson AE, Hess DJ et-al. When patients choose: comparison of Nuss, Ravitch, and Leonard procedures for primary repair of pectus excavatum. J. Pediatr. Surg. 2009;44 (6): 1113-8. doi:10.1016/j.jpedsurg.2009.02.017 - Pubmed citation
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4. Emil S, Laberge JM, Sigalet D et-al. Pectus carinatum treatment in Canada: current practices. J. Pediatr. Surg. 2012;47 (5): 862-6. doi:10.1016/j.jpedsurg.2012.01.035 - Pubmed citation
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5. Kanagaratnam A, Kanagaratnam PS, Kanagaratnam TV, Kanagaratnam PK, Kanagaratnam. Ravitch versus Nuss procedure for pectus excavatum: systematic review and meta-analysis. (2016) Annals of cardiothoracic surgery. doi:10.21037/acs.2016.08.06 - Pubmed
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