Dr. After Donald Nuss developed his minimally invasive technique, which was successfully applied in the correction of pectus excavatum deformity, the lack of a minimally invasive correction method began to be felt for patients with pectus carinatum deformity. Argentine breast surgeon Dr. Horacio Abramson modified the Nuss technique and became the first scientist to apply it to pectus carinatum patients and announce its successful results to the world at scientific meetings. We also use this technique, Dr. We are one of the first centers to implement it in the world after Abramson.

 

In this technique, the chest cavity is not penetrated. Similar to those in the Nuss technique, but some with different features nickel – steel alloy, a metal bar forming the appropriate shape after trokarli thorax (Chest) passes through a tunnel that is created under the skin with the help of the tube and apply pressure on the sternum at the level of the projection kostalar most obvious on both sides (the bones of the ribcage) is identified with steel wires, the stabilizer is attached to. Titanium alloy bar is used in those who are allergic to nickel and steel. these bars and stabilizers, which are kept in place for 2-4 years, are removed under general anesthesia at the end of the specified period. Successful results are obtained in pectus carinatum cases with this technique, which has similarities with Nuss surgery in general characteristics.

 

So far, we have achieved one hundred percent patient satisfaction in our patients to whom we have applied this technique. The patients to whom we apply the bar stay in the hospital for an average of 4-5 days. The support given to the patient in the hospital consists of the cessation of pain. Discharged on the fifth day, the patient needs family support at home for another 2-3 weeks. A person considering such an operation should be able to afford to stay away from school or work for 1-1.5 months.

 

There is no recurrence in the deformity of the patients after the bar pulling procedure, which takes place smoothly under general anesthesia.