HOMEPAGE | PROF. DR. MUSTAFA YÜKSEL |  EXAMINATION |  SCIENTIFIC EDITIONS   |   LINKS  | GALLERY |  CONTACT  |  
 
 
 
News
  • PECTUS WORKSHOP IN SEOUL

    more >>
    EACTS WINDSOR NOVEMBER 2012 REPORT

    more >>
    EACTS WINDSOR JUNE 2012 REPORT

    more >>
 
Nuss Procedure

Nuss Procedure

Before the introduction of the nuss procedure,  patients operated for pectus escavatum had to stay in the hospital longer with lenghty operation times and long recovery period. In 1987 Dr. Donald Nuss an American surgeon introduced the Nuss technique to the medical world requiring less operation time. The nuss procedure has many advantages over the classical Ravitch operation which takes a minimum of 4 hours to perform. Some of the advantages of the new Nuss procedure include:

 
  • The use of video thoracoscopy which is less invasive
  • Operation time aproximately 40-45 minutes
  • Incisions which are more esthetic
  • Post operative patient comfort
  • and early hospital discharge

Our clinic has treated 120 patients with the Nuss procedure in 4 years. Our aim ist to increase patient comfort, reduce the hospital stay and increase patient satifaction.

 

 

Technique of The nuss procedure in brief:

 

Patient lies in the supin position under general anesthesia. The deepest point of the escavatum and both sides of the chest cavity is marked with a skin marker pen. 2 cm skin incision is made near to the marked points on both sides of the chest. The size of the bar to be placed is first determined by an alluminium model bar placed to conform with the chest deformity, the model is used to shape the bar to be placed with a metal bar bender. A small incision is made on the rigth side of the thorax into beneath the ampit for the insertion of the thoracoscope into the thoracic cavity. An intoducer is used to make a tunnel from the right to the left side passing over the heart between the pericard, a guide thread is tied to the tip of the introducer on the left side and pulled out from the right side through the incision. The guide thread is tied to the previously shaped bar with the curve facing upwards and pulled out from the left side. The bar is turned upside down 180 decress with a special bar turner. Generally a metal stabilizer is placed on one side of the bar to hold the bar in place and the muscles are sutured with a suture material. The skin incision is closed esthetically.