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Doctor insights on: Open Repair Pectus Excavatum

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Is the nuss procedure surgery for pectus excavatum painful?

Is the nuss procedure surgery for pectus excavatum painful?

Yes: All thoracic surgery is painful, but we have a lot of analgesic techniques and medications, and the painful period is transient. ...Read more

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Dr. Delphine Yung
182 doctors shared insights

Funnel Chest (Definition)

-defect where the sternum instead of a normal appearance is sunken . If U poured water on it it would pool. It can B severe & compromise cardiac & pulmonary Fx. It is in these cases ...Read more


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Is tricuspid valve surgery open heart?

Is tricuspid valve surgery open heart?

Yes: It's an open heart surgery in order to replace the valve or repair it with a ring. There are no good percutaneous options at the moment. ...Read more

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Is diaphragmatic hernia surgery/diaphragm hole repair an outpatient surgery?

Is diaphragmatic hernia surgery/diaphragm hole repair an outpatient surgery?

Maybe: If you have a simple sliding hiatal hernia repaired laparoscopically you can frequently be discharged the same day. If you have a more complex paraesophageal or foramen of bochdalek hernia expect to be admitted to the hospital. ...Read more

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How painfull is the pectus excavatum surgery?

How painfull is  the pectus excavatum surgery?

Pectus surgery/pain: Pain is common after the surgery (minimally invasive as well as open surgery). For the first few days, patients will receive strong pain medicine in the vein (through an iv) and/or through a catheter placed in the spine (an epidural). After that, pain is usually managed with medicines (narcotics and nsad) taken by mouth. Hospital stay can be up to 7 days for pain management. ...Read more

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Has anyone done the nuss procedure to correct pectus excavatum?

Procedure of choice: The Nuss procedure is now the procedure of choice for repair of pectus excavatum. The Ravitch or open repair is still utilized with good results at some centers, but in most cases is reserved for complex chest wall deformities (concurrent pectus excavatum and carinatum) or when severe asymmetry exists. ...Read more

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What is a pectus carinatum bracing technique?

What is a pectus carinatum bracing technique?

Pectus Carinatum: Patients with pectus carinatum can be treated without surgical intervention using and external chest brace. This technique was developed by a surgeon in Brazil more than 20 years ago and it is considered first line therapy. It is effective when properly used, particularly in young patients ...Read more

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Can heart bypass surgery require cracking the chest open?

Can heart bypass surgery require cracking the chest open?

Sternal incision: The sternum- breast bone is cut with a special saw and wired back together at completion and heals well in general. Done for most congenital, valvular and coronary operations for great exposure and safety and avoids other incisions in chest or groin! ...Read more

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Do heart bypass surgeries require cracking the chest open?

Do heart bypass surgeries require cracking the chest open?

No: Minimally invasive cardiac surgery has been around for more than 20 years. This can be done thorascopically, or with a minimal chest incision. ...Read more

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What helps pectus carinatum?

What helps pectus carinatum?

Pectus Carinatum: Pectus Carinatum is a type of congenital chest wall malformation in which the sternum and ribs have a protrusion deformity. It rarely causes any major problems other than the cosmetic abnormality of the chest. Here is a link with more information: http://academicdepartments.musc.edu/surgery/divisions/pediatric/Pectus_Carinatum_FAQ.pdf ...Read more

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Anyone had pectus excavatum repair and get nice-looking results?

Anyone had pectus excavatum repair and get nice-looking results?

Yes: Not personally, but have over 30 patients that have had the nuss procedure. Most if not all are happy they had the procedure after about week three. ...Read more

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My deformity of the chest called pectus excavatum. My dad had pectus carinatum. Related?

My deformity of the chest called pectus excavatum. My dad had pectus carinatum. Related?

Same basic process: Accelerated longitudinal growth of the parasternal cartillages may push the sternum out or in during the period in which the sternum still growing and maturing. Out- carinatum or pigeon, in- excavatum or caved in, sunken. ...Read more

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Does umbilical hernia repair require hospitalisation?

Does umbilical hernia repair require hospitalisation?

No: Usually an outpatient surgery at a hospital or surgery center. Can go home after recovered from the anesthetic. Unless the surgery is being performed for some uncommon emergency. ...Read more

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Can a concaved chest (pectus excavatum) be fixed with chest implants/plastic surgery instead of a hospital operation?

Can a concaved chest (pectus excavatum) be fixed with chest implants/plastic surgery instead of a hospital operation?

It's still surgery: The answer is yes, it can be fixed with implants (not the best solution) and/or plastic surgery. Either procedure is surgery. In the past a procedure called the nuss procedure was used to correct the shape of the rib cage using an implanted metal plate and i assume you are referring to this procedure. Recently fat injections have been used to correct minor deformities. ...Read more

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When are aortic aneurysm repairs performed?

When are aortic aneurysm repairs performed?

Based on size: The risk of rupture of an aortic aneurysm increases with its size (diameter). When the size reaches a certain threshold, the risk of rupture becomes substantial. At this point, a repair is justified either with surgery or a percutaneous stent graft. ...Read more

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How to improve pectus excavatum without pt?

How to improve pectus excavatum without pt?

Pectus excavatum: Pectus excavatum can be surgically repaired, but surgery is usually reserved for people who have moderate to severe signs and symptoms. People who have mild signs and symptoms may be helped by physical therapy. Certain exercises can improve posture and increase the degree to which the chest can expand. http://www.mayoclinic.org/diseases-conditions/pectus-excavatum/basics/treatment/con-20028599 ...Read more

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Is minimally invasive mitral valve repair available?

Is minimally invasive mitral valve repair available?

Yes but depends...: Yes smaller incision approach from the side of the chest rather than splitting the sternum as well as robotic surgery are available in certain centers and would depend upon the complexity of repair and any other procedures that may have to be done at same time such as bypass surgery. Discuss with your surgeon about pros and cons of various approaches. ...Read more

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Dr. Dariush Saghafi
54 doctors shared insights