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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 wikiPageLength "10449".
- Nuss_procedure wikiPageOutDegree "14".
- Nuss_procedure wikiPageRevisionID "667701685".
- Nuss_procedure wikiPageWikiLink Category:Surgical_procedures.
- Nuss_procedure wikiPageWikiLink Category:Thoracic_surgery.
- Nuss_procedure wikiPageWikiLink Childrens_Hospital_of_The_Kings_Daughters.
- Nuss_procedure wikiPageWikiLink Donald_Nuss.
- Nuss_procedure wikiPageWikiLink Epidural.
- Nuss_procedure wikiPageWikiLink Epidural_administration.
- Nuss_procedure wikiPageWikiLink Foley_catheter.
- Nuss_procedure wikiPageWikiLink Minimally-invasive.
- Nuss_procedure wikiPageWikiLink Minimally-invasive_procedures.
- Nuss_procedure wikiPageWikiLink Norfolk,_Virginia.
- Nuss_procedure wikiPageWikiLink Nuss_procedure.
- Nuss_procedure wikiPageWikiLink Pectus_excavatum.
- Nuss_procedure wikiPageWikiLink Stainless_steel.
- Nuss_procedure wikiPageWikiLink Surgical_stainless_steel.
- Nuss_procedure wikiPageWikiLink Surgical_suture.
- Nuss_procedure wikiPageWikiLink Sutures.
- Nuss_procedure wikiPageWikiLink Thoracoscope.
- Nuss_procedure wikiPageWikiLink Thoracoscopy.
- Nuss_procedure wikiPageWikiLink File:Nuss_x-ray.jpg.
- Nuss_procedure wikiPageWikiLinkText "Nuss procedure".
- Nuss_procedure wikiPageWikiLinkText "Repair of pectus deformity".
- Nuss_procedure wikiPageWikiLinkText "the Nuss procedure".
- Nuss_procedure hasPhotoCollection Nuss_procedure.
- Nuss_procedure wikiPageUsesTemplate Template:Cite_journal.
- Nuss_procedure wikiPageUsesTemplate Template:Dmoz.
- Nuss_procedure wikiPageUsesTemplate Template:Reflist.
- Nuss_procedure wikiPageUsesTemplate Template:Respiratory_system_surgeries_and_other_procedures.
- Nuss_procedure wikiPageUsesTemplate Template:Rp.
- Nuss_procedure wikiPageUsesTemplate Template:Thoracic_surgery.
- Nuss_procedure subject Category:Surgical_procedures.
- Nuss_procedure subject Category:Thoracic_surgery.
- Nuss_procedure hypernym Procedure.
- Nuss_procedure type AnatomicalStructure.
- Nuss_procedure type Specialty.
- 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 sameAs Nuss-procedure.
- Nuss_procedure sameAs Técnica_de_Nuss.
- Nuss_procedure sameAs m.094mz6.
- Nuss_procedure sameAs Операция_по_Нассу.
- Nuss_procedure sameAs Nuss_Procedure.
- Nuss_procedure sameAs Q1857461.
- Nuss_procedure sameAs Q1857461.
- Nuss_procedure wasDerivedFrom Nuss_procedure?oldid=667701685.
- Nuss_procedure depiction Nuss_x-ray.jpg.
- Nuss_procedure isPrimaryTopicOf Nuss_procedure.