Ravitch Procedure (Open Approach for Chest Wall Deformities)
This chapter describes the surgical “Ravitch procedure” as performed by open approach. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as that found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: incision, anterior thoracic exposure, perichondrial incision, resection of malformed costal cartilages, sternotomy and sternal fixation, xiphoid resection as indicated, and reconstructive closure.