Mr Marco Scarci Consultant thoracic surgeon at Spire Cambridge Lea Hospital offers specialist minimally invasive surgery for a common chest deformity in adults and adolescents - the Nuss procedure for Pectus excavatum. Mr Scarci is the only surgeon in East Anglia to offer this procedure in a private hospital.
Call us on 01223 266929 to make an enquiry or visit www.chestandlung.com
Pectus excavatum (funnel chest) is a condition that affects the breastbone (sternum) and the ribs. It is one of the most common anomalies of childhood, one in every 1,000 children has some form of the condition and it is more common in boys than in girls.
The condition is caused by growth of excess connective tissue between the ribs and the breastbone. Pectus excavatum does not affect growth or development but as the children grow, the chest depression often becomes more pronounced and may cause some symptoms such as shortness of breath on exercising and exertion. By adolescence and young adulthood the person may also experience psychological features associated with negative body image.
The Nuss procedure
Prior to the development of the Nuss procedure, a variety of radical surgical procedures were used to correct this deformity, which entailed the patient staying a long time in hospital and an extended recuperation period. In 1987 Dr Donald Nuss, developed a new technique for the correction of pectus ecavatum, known as the Nuss procedure which is minimally invasive, hence a quicker recovery period.
The procedure is carried out with an epidural, and two incisions are made either side of the chest wall for the insertion of a curved steel bar under the breastbone. The bar is fixed to the ribs on either side, is not visible from the outside and stays in place for two years and is then removed.
The immediate recovery time in the hospital is 4-5 days,. Attention is paid to post operative pain relief and advice on how to move about to maintain the position of the bar. After discharge, the patient is expected to slowly resume normal but restricted activity, such as heavy lifting or strenuous exercise.
The consultant will follow up the patient at 2 weeks, 1, 3 and 6 months.
The pectus support bar is removed after between two to three years as a daycase procedure under a quick general anesthetic. In general Patients are able to leave the hospital on the same day after the removal.
The Nuss procedure at Spire Cambridge Lea Hospital
The Nuss procedure for Pectus excavatum is performed at Spire Cambridge Lea Hospital by Mr Marco Scarci, Consultant thoracic surgeon
- The procedures can be performed from 16 years of age onwards
- Referral by GP is not necessary to secure an initial consultation.
To find out more about this procedure call us on 01223 266929 or complete our online enquiry form