Nuss

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.

Procedure

During the Nuss procedure, a curved metal bar is inserted behind the sternum. This bar is used to push the sternum outwards, correcting the deformity. The bar is left in place for two to four years and then removed in a second operation.

Indications

The Nuss procedure is indicated for patients with severe pectus excavatum, particularly those experiencing related symptoms such as chest pain, shortness of breath, or exercise intolerance. It is also used in cases where the condition is causing psychological distress due to the appearance of the chest.

Risks and Complications

As with any surgical procedure, the Nuss procedure carries risks. These include infection, bleeding, and reaction to anesthesia. Specific to this procedure, there is a risk of bar displacement or rotation, which may require additional surgery. There is also a risk of injury to the heart or lungs during the procedure.

Recovery

Recovery from the Nuss procedure typically involves a hospital stay of five to seven days. Pain can be significant in the first few days and is managed with medication. Most patients can return to normal activities within a month, although heavy lifting and contact sports should be avoided for several months.

See Also

• Pectus excavatum
• Thoracic surgery
• Minimally invasive procedure

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