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Pectus Carinatum master class

Pectus Carinatum master class

A UK first in surgery took place at the University Hospital of Wales earlier this week, when world class surgeons took part in a Pectus Carinatum master class which corrects chest deformities.


This UK first surgery involves a minimally invasive procedure to correct a “pigeon chest” where the ribs appear to be pushed out. The surgery took place in Theatre 8 OR1, which is a state of the art facility, the only one of its kind in Wales which has an observation gallery and a live link to the teaching facility held in the WIMAT Training Facility in Cardiff Medicentre.


Pectus Carinatum affects around one in every 1,500 children and is more common in boys than girls. It can become more obvious as children grow and cause serious psychological effects including depression, negative body image and low self-esteem.


During the corrective surgery, a specially designed metal brace is inserted through two small incisions in the side of the chest to reshape it.


After the metal brace is inserted, the surgeon pushes down on the chest until it has a more normal appearance.
The brace is removed under general anaesthetic after around two years by which time the chest should be permanently reshaped.


Prof Mustafa Yuksel, a consultant cardiothoracic surgeon from Istanbul in Turkey, designed the brace and has carried out over 150 similar operations in his home country.


He was invited by Margaret Kornasewska, Consultant Thoracic Surgeon at UHW and Cardiff University’s Welsh Institute for Minimal Access Therapy (WIMAT) to bring his expertise to Wales for this Specialist Surgical Event.
WIMAT, who are a Postgraduate Surgical Training department within the Wales Deanery, collaborate with UHW to organise specialist training and bring innovation in surgery to Wales.


Professor Yuksel said: “The bar I designed is easier, safer and better to use, the other type of operation is very invasive. You cut the ribs, take them out, correct them and put them in again.”


"It’s a very big procedure that can take sometimes six or eight hours, this way it takes only half an hour and the patient is able to leave hospital two days later."


A patient who has already has this surgery, who did not wish to be named, spoke to the gathering of specialists visiting UHW.


"It really affected me mentally, especially when I started getting involved with girls. I was always a bit shy but then I managed to meet a girl I actually liked. When she saw my chest it put her right off. And that hit me really hard. Since I've had the operation I've managed to get my confidence back."

Dr Neil Warren, Director from WIMAT said: “I’d like to thank everyone for coming along to this master class. Showcasing innovative surgery such as this helps us share best practice and allows cardiothoraiac surgeons to gain new skills, which ultimately gives patients the best outcomes.


“We have attracted interest in this procedure and course from all around the world. It would not have been possible without the help of our sponsors DePuySynthes Strawberry Medical Medicalex-Francamed R&D Surgical and Pioneer surgical.”

A UK first in surgery took place at the University Hospital of Wales earlier this week, when world class surgeons took part in a Pectus Carinatum master class which corrects chest deformities.


This UK first surgery involves a minimally invasive procedure to correct a “pigeon chest” where the ribs appear to be pushed out. The surgery took place in Theatre 8 OR1, which is a state of the art facility, the only one of its kind in Wales which has an observation gallery and a live link to the teaching facility held in the WIMAT Training Facility in Cardiff Medicentre.


Pectus Carinatum affects around one in every 1,500 children and is more common in boys than girls. It can become more obvious as children grow and cause serious psychological effects including depression, negative body image and low self-esteem.


During the corrective surgery, a specially designed metal brace is inserted through two small incisions in the side of the chest to reshape it.


After the metal brace is inserted, the surgeon pushes down on the chest until it has a more normal appearance.
The brace is removed under general anaesthetic after around two years by which time the chest should be permanently reshaped.


Prof Mustafa Yuksel, a consultant cardiothoracic surgeon from Istanbul in Turkey, designed the brace and has carried out over 150 similar operations in his home country.


He was invited by Margaret Kornasewska, Consultant Thoracic Surgeon at UHW and Cardiff University’s Welsh Institute for Minimal Access Therapy (WIMAT) to bring his expertise to Wales for this Specialist Surgical Event.
WIMAT, who are a Postgraduate Surgical Training department within the Wales Deanery, collaborate with UHW to organise specialist training and bring innovation in surgery to Wales.


Professor Yuksel said: “The bar I designed is easier, safer and better to use, the other type of operation is very invasive. You cut the ribs, take them out, correct them and put them in again.”


"It’s a very big procedure that can take sometimes six or eight hours, this way it takes only half an hour and the patient is able to leave hospital two days later."


A patient who has already has this surgery, who did not wish to be named, spoke to the gathering of specialists visiting UHW.


"It really affected me mentally, especially when I started getting involved with girls. I was always a bit shy but then I managed to meet a girl I actually liked. When she saw my chest it put her right off. And that hit me really hard. Since I've had the operation I've managed to get my confidence back."

Dr Neil Warren, Director from WIMAT said: “I’d like to thank everyone for coming along to this master class. Showcasing innovative surgery such as this helps us share best practice and allows cardiothoraiac surgeons to gain new skills, which ultimately gives patients the best outcomes.


“We have attracted interest in this procedure and course from all around the world. It would not have been possible without the help of our sponsors DePuySynthes Strawberry Medical Medicalex-Francamed R&D Surgical and Pioneer surgical.”

Published on Wed, 15th Jul 2015

 
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