Pectus excavatum correction surgeries required a long hospital stay, a long surgical period and a long recovery period before Nuss surgery began to be performed. in 1987, the American surgeon Dr. With the new technique brought by Donald Nuss to the medical world, it has been possible to treat patients in a short time.

 

In pectus ekskavatu (Shoemaker chest) Nuss operation, in appropriate cases, at least 4 hours according to the operation method with a much less invasive thoracoscopic classic Ravitch procedure (Dashed), to be short, 15-20 minutes of Operation time, incision aesthetic high postoperative (postoperative care) patient comfort and faster discharge time should be preferred approach. We aimed to increase patient satisfaction with the advantages such as short recovery time, high postoperative patient comfort and short hospitalization time with the Nuss method that we applied to 350 patients in our clinic within 8 years.

 

To briefly summarize the technique applied in the Nuss operation:

 

- The patient is laid on his back under general anesthesia.

 

- The deepest and highest point of the hollow in the chest is marked on both sides.

 

- 2-inch incisions are made at a distance close to the points marked on the sides.

 

- Height determination is made with the aluminum model of the metal bar to be placed.

 

- The model is shaped and the metal bar is shaped with a bending tool by looking at this model.

 

- The thoracoscope is inserted into the chest cavity through a small incision made in the armpit line on the right side.

 

- The tunnel opener inserted into the chest cavity from the incision on the right is extended to the left chest cavity through the tunnel opened between the heart membrane with the belief board (sternum) at the deepest point of the Decapitation and is removed out of the incision made on the left.

 

- The guide rope connected to the end of the tunnel opener is retracted and the end is allowed to protrude out of the incision on the right.

 

- After that, the metal bar previously shaped is connected with a guide rope and pulled back so that the opening is facing up, and both ends are placed so that they protrude from the cuts on both sides.

 

- Then, thanks to a special rotating tool, the metal bar is turned 180 degrees to push the breastbone in the chest cavity.

 

- The stabilizer, which is usually placed on one side, is passed through the metal part and fixed to the muscles on the side wall of the chest with November suture materials.

 

- Then the subcutaneous and skin are sutured with aesthetic sutures.

 

- Air is evacuated through a small catheter through the thoracoscope incision.