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- Nuss_procedure abstract "The Nuss procedure is a minimally-invasive procedure, invented in 1987 by Dr. Donald Nuss for treating pectus excavatum. He developed it at Children's Hospital of The King's Daughters, in Norfolk, Virginia. The operation typically takes approximately two hours.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. A third, smaller incision is made to insert a thoracoscope (small camera) used to help guide the bar. Taller patients, older patients, or patients requiring extensive correction may receive two or more bars. All bars may be placed through two incisions or additional incisions may be made. The bar is then flipped, and the sternum pops out. To support the bar and keep it in place, a metal plate called a stabilizer may be inserted with the bar on one side of the torso. PDS sutures may also be used in addition to the stabilizer. The stabilizer fits around the bar and into the ribcage. The bar and stabilizer are secured with sutures that dissolve in about six months.Some surgeons have achieved excellent results using only pericostal sutures, without the use of stabilizers. For older children who have more ossified bones, an additional option the surgeon has is to make an incision across the sternum so the bar is attached with a wire to the sternum to avoid bar displacement. Older children's bones do not conform as easily to the bar, thus increasing the risk of bar displacement, so the wire attaching the bar directly to the sternum may help avoid a second surgery to correct bar displacement.Eventually, the bar is secured with muscle tissue that regrows during the recovery time. Although initially recommended only for younger patients, the Nuss procedure is now commonly used on patients in their thirties and forties with excellent results.Postoperative evaluation indicates a significant improvement in pulmonary function studies and a high proportion of patients report improvements in well being and an increase in exercise tolerance.Although this procedure is categorized as "minimally invasive", one must not infer that recovery from this procedure is minimal. Post-operative pain control can be quite challenging, thus requiring multi-modal pain management such as epidural. Nurses who attend these patients post operation generally concur that this operation is one of the more difficult recoveries of any operations for children.".
- Nuss_procedure thumbnail Nuss_x-ray.jpg?width=300.
- Nuss_procedure wikiPageExternalLink 40.
- Nuss_procedure wikiPageID "3306593".
- Nuss_procedure wikiPageRevisionID "599473830".
- Nuss_procedure hasPhotoCollection Nuss_procedure.
- Nuss_procedure subject Category:Surgical_procedures.
- Nuss_procedure subject Category:Thoracic_surgery.
- Nuss_procedure type Abstraction100002137.
- Nuss_procedure type Act100030358.
- Nuss_procedure type Activity100407535.
- Nuss_procedure type Event100029378.
- Nuss_procedure type MedicalProcedure101024392.
- Nuss_procedure type Operation100671351.
- Nuss_procedure type Procedure101023820.
- Nuss_procedure type PsychologicalFeature100023100.
- Nuss_procedure type SurgicalProcedures.
- Nuss_procedure type YagoPermanentlyLocatedEntity.
- Nuss_procedure comment "The Nuss procedure is a minimally-invasive procedure, invented in 1987 by Dr. Donald Nuss for treating pectus excavatum. He developed it at Children's Hospital of The King's Daughters, in Norfolk, Virginia. The operation typically takes approximately two hours.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.".
- Nuss_procedure label "Nuss procedure".
- Nuss_procedure label "Nuss-procedure".
- Nuss_procedure label "Técnica de Nuss".
- Nuss_procedure label "Операция по Нассу".
- Nuss_procedure sameAs Nuss-procedure.
- Nuss_procedure sameAs Técnica_de_Nuss.
- Nuss_procedure sameAs m.094mz6.
- Nuss_procedure sameAs Q1857461.
- Nuss_procedure sameAs Q1857461.
- Nuss_procedure sameAs Nuss_procedure.
- Nuss_procedure wasDerivedFrom Nuss_procedure?oldid=599473830.
- Nuss_procedure depiction Nuss_x-ray.jpg.
- Nuss_procedure isPrimaryTopicOf Nuss_procedure.
