Nuss procedure is an operation to cure pectus excavatum. And it is a minimally invasive technique that uses a retrosternal bar and this is the most recent procedure for pectus.
What Is Nuss Procedure: Newest Procedure For Pectus
Dr. Donald Nuss invented the Nuss procedure in 1987 and it is a minimally invasive procedure and it is used for treating pectus excavatum. Nearly two hours is needed for this operation. An introducer is pressed along with posterior to the sternum and ribs and anterior to the heart and lungs and they are placed through two small incisions that are made in the sides of the chest and then a stainless steel bar which is concaved is pushed underneath the sternum through the same incisions in the side of the chest. Then a thoracoscope or a small camera is used as a guide of the bar and to insert it a smaller incision is made.
Patients who are taller and older or who need extensive correction may get two or more bars. And for placing these bars two or more incisions may be made. Then the bar is tossed and the sternum pops out. With the bar on one side of the torso a plate made of metal, which is called stabilizer, may also be inserted to keep the bar in place. In addition to the stabilizer PDS sutures can as well be used. Muscle tissue that grows through recuperation time secures the bar.
At the beginning this procedure was suggested only for patients who are young but now it is also applied on patients who are thirty and forty year old and that too with brilliant consequences. Despite the fact that the procedure is classified as “minimally invasive”, post-operative pain control may be pretty exigent and consequently requires multi-modal pain management including epidural anesthetics. Nurses attending these patients after operation normally agree that for children this operation is one of the more hard recoveries of any operations.
An Example for Before and After Pectus Excavatum
THE NEWEST PROCEDURE FOR PECTUS
It is admit able that when it comes to the question about the latest technique for pectus nuss procedure is the solution or answer to that question. Patients with pectus excavatum are considered as the candidates for this surgery but it is not that all patients who have pectus excavatum are considered for this surgery. Patients who are selected for this surgery are based on some symptoms that are clinical and that should be done with care.
Assessments that are preoperative could contain pulmonary function testing or PFT and noncontract computed tomography or CT of the chest. Determination of the preoperative Haller index are allowed by CT. Patients who have haller index that is greater than 3.2 are considered for minimally invasive correction. Mild changes in pulmonary volumes are demonstrated by PFT. Patients who have clinical evidence of Marfan syndrome get echocardiography.
When many different surgeons performed nuss procedure the rate of complications were high but since it was first performed the bar has been amended four times. And the bars that are used nowadays are sturdy enough to withstand the strain of even the harshest malformation.
Nuss Procedure is newest treatment for Pectus Excavatum.