MODIFICATION OF THE NUSS PROCEDURE-PREVENTION OF INJURIES OF THE HEART AND MAJOR BLOOD VESSELS
<p><strong>Objective:</strong> The Nuss procedure is a widely accepted technique for correcting pectus excavatum. Unfortunately, fatal complications such as cardiac perforation and injury of the great blood vessels have been noticed in a few patients.We modified original Nuss techn...
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doaj-80af5010b4b54ba88f46056718ce980b2020-11-25T03:19:38ZengDiscoverSysBali Medical Journal2089-11802302-29142012-09-0113889210.15562/bmj.v1i3.2020MODIFICATION OF THE NUSS PROCEDURE-PREVENTION OF INJURIES OF THE HEART AND MAJOR BLOOD VESSELSMirko Žganjer0Children’s Hospital Zagreb, Department of Pediatric Surgery, Klaićeva 16, 10000 Zagreb<p><strong>Objective:</strong> The Nuss procedure is a widely accepted technique for correcting pectus excavatum. Unfortunately, fatal complications such as cardiac perforation and injury of the great blood vessels have been noticed in a few patients.We modified original Nuss technique to be simpler and less<br />dangerous.</p><p><strong>Methods:</strong> We modified Nuss procedure with the sternal elevation to improve sternal depression. Modified Nuss procedure was carried out by applying metal lifter raise sterum until the patient starts to raise from the operating table. The space behind sternum is now wider, and surgery<br />has become safer with less probability of injuries intrathoracic organs. We compared 46 patients operated by the original Nuss method (taking into account the data from the literature on complications of the original method on a large series of patients) with 54 patients operated by a modified Nuss method.</p><p><strong>Results:</strong> Before lifting the sternum depth of the deformity was between 2.9 and 6.2 cm (mean 5.4 cm), and the increase were between 1.5 and 4.0 cm (mean 2.8 cm). The difference of 2.6 cm is large enough, and the width of introducer and bars are about 3 mm for securely passed along the chest.</p><p><strong>Conclusions:</strong> A modified method of treating pectus excavatum is safer, better and with fewer complications than the original method of Nuss.</p>https://balimedicaljournal.org/index.php/bmj/article/view/20pectus excavatum, modification, nuss technique, lifting the sternum |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mirko Žganjer |
spellingShingle |
Mirko Žganjer MODIFICATION OF THE NUSS PROCEDURE-PREVENTION OF INJURIES OF THE HEART AND MAJOR BLOOD VESSELS Bali Medical Journal pectus excavatum, modification, nuss technique, lifting the sternum |
author_facet |
Mirko Žganjer |
author_sort |
Mirko Žganjer |
title |
MODIFICATION OF THE NUSS PROCEDURE-PREVENTION OF INJURIES OF THE HEART AND MAJOR BLOOD VESSELS |
title_short |
MODIFICATION OF THE NUSS PROCEDURE-PREVENTION OF INJURIES OF THE HEART AND MAJOR BLOOD VESSELS |
title_full |
MODIFICATION OF THE NUSS PROCEDURE-PREVENTION OF INJURIES OF THE HEART AND MAJOR BLOOD VESSELS |
title_fullStr |
MODIFICATION OF THE NUSS PROCEDURE-PREVENTION OF INJURIES OF THE HEART AND MAJOR BLOOD VESSELS |
title_full_unstemmed |
MODIFICATION OF THE NUSS PROCEDURE-PREVENTION OF INJURIES OF THE HEART AND MAJOR BLOOD VESSELS |
title_sort |
modification of the nuss procedure-prevention of injuries of the heart and major blood vessels |
publisher |
DiscoverSys |
series |
Bali Medical Journal |
issn |
2089-1180 2302-2914 |
publishDate |
2012-09-01 |
description |
<p><strong>Objective:</strong> The Nuss procedure is a widely accepted technique for correcting pectus excavatum. Unfortunately, fatal complications such as cardiac perforation and injury of the great blood vessels have been noticed in a few patients.We modified original Nuss technique to be simpler and less<br />dangerous.</p><p><strong>Methods:</strong> We modified Nuss procedure with the sternal elevation to improve sternal depression. Modified Nuss procedure was carried out by applying metal lifter raise sterum until the patient starts to raise from the operating table. The space behind sternum is now wider, and surgery<br />has become safer with less probability of injuries intrathoracic organs. We compared 46 patients operated by the original Nuss method (taking into account the data from the literature on complications of the original method on a large series of patients) with 54 patients operated by a modified Nuss method.</p><p><strong>Results:</strong> Before lifting the sternum depth of the deformity was between 2.9 and 6.2 cm (mean 5.4 cm), and the increase were between 1.5 and 4.0 cm (mean 2.8 cm). The difference of 2.6 cm is large enough, and the width of introducer and bars are about 3 mm for securely passed along the chest.</p><p><strong>Conclusions:</strong> A modified method of treating pectus excavatum is safer, better and with fewer complications than the original method of Nuss.</p> |
topic |
pectus excavatum, modification, nuss technique, lifting the sternum |
url |
https://balimedicaljournal.org/index.php/bmj/article/view/20 |
work_keys_str_mv |
AT mirkozganjer modificationofthenussprocedurepreventionofinjuriesoftheheartandmajorbloodvessels |
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1724621118367596544 |