Conservative Treatment ofPectum Excavatumin Children Using Vacuum Bell (cost of device excluded)

This is noninvasive (conservative) treatment of congenital pectum excavatum in children.

Before treatment examination is required to rule out contraindications, in particular clotting time, bleeding duration, platelets; lateral chest X-ray, ECG and echocardiography. A doctor performs fit testing to select a vacuum bell, determines the level of negative pressure in the device and explains the rules and coaches skills to handle the vacuum bell. At the next visits a doctor corrects the vacuum bell application site and a degree of its exhaustion.

Indications: congenital pectum excavatum I-II in a child.

Service duration (tentatively) is two years. A child needs supervision by a surgeon once a month in the first three months, then once in three months and once in 6 months in a year (8-10 times in total).

Terms of service provision

Age restrictions: children after 4 years to 14 years.

Contraindications:

• heart defects requiring surgical treatment, blood clotting disorders;
• osteogenesis imperfecta and other diseases with bone fragility, rigid deformity forms.