Operation nach Nuss

An x-ray scan
of a 15 year old male after undergoing the Nuss procedure. The patient has a Lorenz bar under the sternum to correct pectus excavatum.
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Teenager who
had a Nuss bar placed 3 months ago. CXR AP shows the right Nuss bar stabilizer is normally connected to the Nuss bar but the left Nuss bar stabilizer is no long connected to the Nuss bar.The diagnosis was Nuss Bar malfunction with the left Nuss bar stabilizer separated from the Nuss bar.
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The Nuss procedure (also termed MIRPE - minimally invasive repair of pectus excavatum) is one of the operative treatments employed in patients with pectus excavatum.

It involves insertion of one (or more) concave metal bars beneath the sternum in the anterior chest wall. It is significantly less invasive than the Ravitch procedure and has largely replaced it.

Differential diagnosis

A reverse Nuss procedure can be performed for treatment of pectus carinatum ; the main difference is that the bar is placed superficially to the sternum, instead of deep to the sternum, to pull the sternum back towards the spine.

See also

Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu Operation nach Nuss:
Pectus
excavatum
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Haller-Index
 
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Komplikationen
bei Operation nach Nuss
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