The ranking of hospitals for adult pectus excavatum surgery in New York City + a list of prices!

Introduction

Pectus excavatum, also known as funnel chest, is a condition where the breastbone caves inward. For adults suffering from this condition, surgery can often be an effective solution to improve both physical and cosmetic concerns. In New York City, there are several top - notch hospitals that offer pectus excavatum surgery. This article will explore the rankings of these hospitals and provide an insight into the possible costs involved.

Understanding Pectus Excavatum and Its Surgical Treatments

Pectus excavatum is a condition where the cartilage connecting the ribs to the sternum overgrows, causing the sternum to curve inward. This can potentially compress the heart and lungs, leading to various health issues such as reduced cardiac function and breathing difficulties. There are two main surgical procedures for treating pectus excavatum in adults:

1. Nuss Procedure: In this minimally invasive procedure, two small holes are made on either side of the chest. A curved steel bar is inserted under the sternum to pull it out and is fixed to the ribs. The bar remains in place for at least three years, depending on the severity of the deformity. This procedure is increasingly popular due to its less - invasive nature compared to traditional methods.
2. Ravitch Procedure: It involves making an extended cut across the chest to remove excess cartilage, reposition the rib cage, and implant a wedge bone graft. Two titanium rods are placed below the sternum to support the rib cage and are removed after three years through a second surgery. The technique has been revised to be less invasive over the years.

Top - Ranked Hospitals in New York City for Adult Pectus Excavatum Surgery

U.S. News has evaluated numerous hospitals in New York. Here are some of the top - ranked hospitals that are likely to offer high - quality adult pectus excavatum surgery:

New York - Presbyterian Hospital - Columbia and Cornell

This hospital is highly regarded in the medical community. It is nationally ranked in 14 adult specialties and 10 pediatric specialties. The breadth and depth of its services, including a wide range of surgical expertise, make it a strong candidate for adult pectus excavatum surgery. Surgeons here have access to advanced clinical technologies and a wealth of experience in dealing with complex cases. For example, in related surgical specialties such as heart surgery, gi surgery, and lung surgery (where the knowledge of thoracic anatomy is crucial), the hospital's high - ranking positions suggest a high level of skill and expertise that can be beneficial for pectus excavatum patients. Additionally, its high - performing ratings in multiple procedures and conditions, including those related to the chest and respiratory system, indicate a focus on achieving good patient outcomes.

Mount Sinai Hospital

With 12 nationally ranked adult specialties and 4 pediatric specialties, Mount Sinai Hospital offers comprehensive medical care. It is high - performing in 20 procedures and conditions. The hospital has a large team of medical professionals, including orthopedic surgeons, thoracic surgeons, and rehabilitation specialists, who can work together to provide a holistic approach to treating pectus excavatum. Their research and clinical practice are likely to keep them at the forefront of the latest treatment methods and techniques, ensuring that patients receive up - to - date and effective care.

NYU Langone Hospitals

NYU Langone is another top - tier hospital in New York. It is nationally ranked in 13 adult specialties and 3 pediatric specialties. The hospital has a team of doctors dedicated to providing the most advanced and personalized care for various conditions, including pectus excavatum. They also offer a wide range of resources for pre - and post - operative care, which is essential for a successful recovery. Their high - performing status in 21 procedures and conditions, especially those related to the thoracic area, indicates a high standard of surgical and medical treatment.

North Shore University Hospital at Northwell Health

Nationally ranked in 9 adult specialties, this hospital has a strong track record in providing high - quality medical services. It is high - performing in 15 procedures and conditions. The hospital's staff is likely well - trained in handling orthopedic and thoracic surgeries, which are relevant to pectus excavatum treatment. The focus on patient outcomes and the use of modern medical technologies can contribute to successful surgical interventions and patient recovery.

Lenox Hill Hospital at Northwell Health

Ranked #5 in New York and nationally ranked in 10 adult specialties, Lenox Hill Hospital offers a good level of care for pectus excavatum patients. It is high - performing in 1 specialty and 16 procedures/conditions. The hospital's experienced medical staff and commitment to patient - centered care make it a viable option for those seeking treatment for this condition. They may have unique approaches and treatment plans based on their local patient population and clinical experience.

Cost of Adult Pectus Excavatum Surgery in New York City

The cost of pectus excavatum surgery can vary significantly based on several factors:

• Type of Procedure: The Nuss procedure, which is minimally invasive, generally costs around $40,000 to $65,000. The Ravitch procedure, which is more invasive, may also fall within a similar price range, but can be higher depending on the complexity of the case.
• Severity of Deformity: If the pectus excavatum is more severe, it may require more complex surgical techniques, longer operating times, and more resources, resulting in a higher cost.
• Hospital and Surgeon Fees: Different hospitals have different fee structures, and highly experienced surgeons may charge more for their services. Additionally, the location of the hospital within New York City can also impact the cost, with some areas having higher overhead expenses.
• Insurance Coverage: Almost all insurance plans in the United States cover the pectus excavatum surgery costs. However, the extent of coverage can vary. Some insurance policies may require patients to pay a deductible, co - pay, or co - insurance. If a patient does not have insurance, the cost can be extremely high, with the Ravitch and Nuss procedures potentially costing up to $100,000.

Recovery and After - Care

Recovery from pectus excavatum surgery is a crucial phase. After the surgery, patients are usually required to stay in the hospital for 5 - 7 days for post - operative pain management. The recovery process can take several months, during which patients need to follow strict physical and dietary limitations:

• Physical Activity: In the first few weeks, physical activity should be minimal. For the first month, activities like walking around the household can be gradually introduced, but heavy lifting should be avoided. After two months, non - contact sports may be allowed, but contact sports should be avoided until the pectus excavatum surgery bar is removed (usually after 2 - 3 years). Lifting weights should start with lighter weights.
• Breathing Exercises: Deep abdominal breathing exercises should be practiced three times a day to improve lung function and reduce discomfort in the chest area.
• Diet: A balanced diet is important for recovery. Patients may need to avoid certain foods during the post - operative period, especially those that may cause digestive issues or interact with pain medications.
• Follow - up Appointments: Regular follow - up appointments with the surgeon are necessary to monitor the healing process, check for any complications, and make sure the patient is following the recovery plan correctly.

Risks and Complications

Although pectus excavatum surgery is promoted as minimally invasive, it is not without risks. Some of the potential complications include:

• Excessive Bleeding: During or after the surgery, there may be significant blood loss, which can be life - threatening if not managed properly.
• Heart Perforation: In rare cases, the surgical instruments or the bars inserted during the procedure can accidentally puncture the heart, leading to serious cardiac problems.
• Blood Vessel and Lung Injuries: The surgery can cause damage to major blood vessels or the lungs, resulting in hemothorax (blood in the chest cavity) or other respiratory problems.
• Bar Displacement: In adult patients, the chest wall is less flexible, and there is a higher risk of the bars used in the surgery becoming displaced. This can require additional procedures to correct.

Conclusion

In New York City, patients seeking adult pectus excavatum surgery have several excellent hospital options. Hospitals like New York - Presbyterian Hospital - Columbia and Cornell, Mount Sinai Hospital, NYU Langone Hospitals, North Shore University Hospital at Northwell Health, and Lenox Hill Hospital at Northwell Health are all well - ranked and equipped to handle such surgeries. However, it's important to understand that the surgery comes with risks, a long recovery period, and potential costs. If your pectus excavatum condition is mild and does not significantly affect your heart or lungs, non - surgical options such as physical therapy, yoga, breathing exercises, vacuum bell therapy, or bracing may be considered. For those with severe cases, surgery might be the best solution, but it's crucial to weigh the options carefully and discuss them with a qualified medical professional.

Call - to - Action

If you or someone you know is considering adult pectus excavatum surgery in New York City, take the time to research these hospitals further. Contact the hospitals directly to learn more about their surgeons, success rates, and the overall treatment process. You can also share this article with others who may benefit from this information, and explore related topics on medical websites or consult with a medical advisor for personalized advice.