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Safety

Every surgery carries risk, and the risks of this technique are published. This page gathers what was documented and where to read it.

What was documented

All surgery carries risk, and the risks of this technique are published. In the series of 3,805 patients, 5 major complications were documented: 4 pneumothoraxes and 1 haemothorax. The main risk is pneumothorax, known in any surgery on the chest wall and not exclusive to this technique.

3,805
patients in the multicenter series
5
major complications
4
pneumothorax
1
hemothorax

The published debate

The safety evidence for the technique is published in peer-reviewed journals. Below are the papers with their links, so they can be read in full.

2025-07Safety in Rib Surgery: A Meta-analysis and Systematic ReviewManzaneda Cipriani RM, Durán Vega H, Bucio Duarte JJ y cols.doi:10.1097/GOX.0000000000006783From the team
2025-09Safety Evaluation of the RibXcar Technique Using the PiezotomeManzaneda Cipriani RM, Durán Vega H, Sieber DA y cols.doi:10.1097/GOX.0000000000007130From the team
2026-06RibXcar with Dots Point Technique: The Science of Fracture as a Safety PrincipleManzaneda Cipriani RM y cols.doi:10.1097/GOX.0000000000007816From the team
2026-07Rib Remodeling Without Rib Resection: A Systematic Review and Meta-analysisManzaneda Cipriani RM y cols.doi:10.1097/GOX.0000000000007815From the team

This page reports on published evidence. It does not replace a medical consultation nor determine whether you are a candidate: that decision belongs to a board-certified plastic surgeon who examines you.

All the safety evidence →