Narayana RN Tagore Hospital Performs Northern & Eastern India’s First Pectus Up Procedure…

First Indian Surgical Team in India to Execute Advanced External Titanium Implant Chest Correction Technique

Kolkata: Narayana RN Tagore Hospital has successfully performed the Pectus Up procedure for Pectus Excavatum on a 10-year-old male child, marking a historic milestone as the first Indian team of doctors in India to perform this advanced technique, and the first surgical team in Northern and Eastern India to conduct the procedure for the first time.
This landmark achievement establishes a new benchmark in minimally invasive chest wall correction and reinforces India’s growing capability to deliver globally advanced surgical innovations domestically.

The child had been living with pectus excavatum since birth. What initially appeared to be a cosmetic and social concern gradually progressed into functional complications, including increasing chest discomfort and shortness of breath on exertion, as described by his parents.

He presented in stable condition through the Outpatient Department (OPD) of Dr. Manujesh Bandhopadhyay and was evaluated. Following his detailed clinical examination and initial assessment, a comprehensive diagnostic workup was undertaken, including Chest X-ray, CT scan with Haller’s Index measurement, echocardiography, and pulmonary function tests (PFT), to fully analyze the complexity of the deformity.
After thorough evaluation and case deliberation, it was decided to avoid the traditional intrathoracic bar placement (Nuss procedure) and instead proceed with the advanced titanium implant-based Pectus Up technique, which corrects the deformity externally without placing any bar near the heart or lungs.

The surgery lasted approximately two hours and was completed without complications. In a remarkable post-operative recovery, the child was pain-free and able to mobilize within the ICU just one hour after surgery. He was discharged after a five-day hospital stay.
The Pectus Up procedure represents a next-generation approach to correcting pectus excavatum. Unlike the conventional Nuss procedure, where a metal bar is inserted inside the chest cavity close to vital organs, the Pectus Up technique lifts and stabilizes the sternum externally using a customized titanium implant fixed directly to the bone.