Dr. Jaroszewski uses the following techniques, which are unique to her practice:
How Does Dr. Jaroszewski Treat Pectus Excavatum?
Dr. Jaroszewski's Techniques
1.) Forced Sternal Elevation
Dr. J lifts the sternum away from the heart by using a bone clamp and the Rultract, in order to ensure the bars will cross the chest wall safely and minimize possible trauma to the chest muscles and organs during the procedure.
2.) Shorter, Multiple bars
Dr. J uses shorter bar lengths that curve gently around the front of the chest and do not cause significant restriction to movement. The use of shorter bars will help with bending and twisting side to side.
Multiple bars are chosen to distribute pressure of the chest wall on the bars and to give a better overall contour and cosmetic result.
Most patients need 2 bars with 34% of patients requiring a third bar.
Dr. J uses FiberWire, a high weight, braided plastic suture to secure the bars to the ribs.
She weaves the FiberWire around multiple points to reduce the chance of bar displacement.
4.) Rib Flare Reduction
Some patient's lower ribs may protrude out due to the deformity, commonly referred to as rib flare. If this is present Dr. J will make her best effort to reduce the presence of rib flare.
5.) Pain Management Techniques
Dr J uses a poly-pharmacy approach to pain management. Pain is kept under control through the use of multiple medications, and during surgery an On-Q pain pump is inserted underneath the skin to deliver a numbing medication.*