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.
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.
Pectus carinatum tin is the protrusion of the sternum, the opposite of Pectus excavatum. They are two ways of correcting this defect, the one surgical and the other an external brace.
Surgical repair of a pectus carinatum involves inserting a metal bar in front of the sternum compressing it into the correct shape. [Abrahams procedure] the principle of this operation is similar to that of the Nuss procedure, constant compression.
Dynamic Compression brace
External compression of the chest has been shown to give excellent results. It is usually the first option to correct a Pectus Carinatum. The dynamic compression brace is custom made per patient allowing adjustment as the patient grows as well as the defect corrects itself.