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How does the Nuss procedure work?
The surgeon makes two small cuts in the side of the chest. The surgeon places one or more steel bars behind the breastbone and attaches them to the outer edge of the ribs. The surgeon uses a tiny camera to get the bars in the right place. The surgeon turns the bars, raising the breastbone.
How long do Nuss bars stay?
Because the sternum is forced outward and held under great pressure, the Nuss procedure results in more pain and discomfort than the modified ravitch procedure. The steel structs must remain in place for approximately 2-4 years in order to properly reform the chest.
What is the success rate of the Nuss procedure?
The outcomes of the repair were excellent in 504 patients, good in 105, fair in 28, poor in 2; good quality rate was 95.3\%. Patients were followed up at 1, 3, 6 months and 1 year after surgery. The mean follow up time is 44.0±27.9 months (1-98 months).
How is the Nuss bar attached?
Through two small incisions in the side of the chest, an introducer is pushed along posterior to the sternum and ribs, and anterior to the heart and lungs. Then a concave stainless steel bar is slipped under the sternum, through the incisions in the side of the chest.
What is a Nuss bar made of?
The Pectus Support Bar and stabilizers are made from Stainless Steel, ASTM F 138. Pectus Excavatum and other sternal deformities. The Pectus Support Bar provides the surgeon with a means of treating Pectus Excavatum, funnel chest, a congenital deformity often accompanied by shortness of breath in children.
How much does a Nuss bar weigh?
The Nuss procedure was performed using one to three Nuss bars. The weight of each pectus bar was 53 g (an 8-inch bar) to 96 g (a 15-inch bar).
Is Nuss surgery worth it?
Our results demonstrate that the Nuss procedure is safe and can be performed with excellent results in adults, both in the short term and in the long term. The improved quality of life and patients’ satisfaction with cosmetic results remained high in the long-term follow-up, 10 years after the surgical procedure.
Who performs Nuss procedure?
The Nuss procedure is a minimally invasive procedure for surgical correction of pectus excavatum. Children’s Hospital surgeons have performed more than 500 Nuss procedures, and typically perform approximately 40 cases each year. The procedure is typically performed from age 10 up until the age of 19.
What are pectus bars?
Pectus Excavatum Bar Removal & Discharge Instructions Pectus Excavatum surgery is done to correct the depression of the sternum (breastbone). Once the surgery is done there is a steel support bar in place under the sternum. This bar helps to support the chest while growing occurs and remains in place for three years.
What is the Nuss procedure for pectus excavatum?
Also known as “sunken chest” or “funnel chest,” pectus excavatum can be corrected with the minimally invasive surgical technique called the Nuss procedure or with traditional open surgery, known as the Ravitch procedure.
What is the Nuss procedure for a chest xray?
The Nuss procedure: After a tiny camera is inserted into the chest to guide the procedure, two small incisions are made on either side of the chest, and a curved steel bar is inserted under the sternum. Individually curved for each patient, the steel bar is used to correct the depression and is secured to the chest wall on each side.
How is pain managed after the Nuss procedure?
Traditionally, pain management in patients undergoing the Nuss procedure required a one-week postoperative hospital stay with epidural anesthesia, followed by several weeks of opioid medication after discharge. The latter is a concern, considering that opioid therapy may increase the risk of addiction.
What are the possible complications of pectus excavatum repair?
Possible complications from surgical repair of pectus excavatum include: Pneumothorax (air around the lung). Bleeding. Pleural effusion (fluid around the lung). Infection. Bar displacement. Pectus excavatum recurrence (comes back) after the bar is removed.