Nuss procedure for Pectus excavatum

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

Pectus excavatum

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 operation
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.

Bar removal
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

Introducing the Nuss Procedure with Mr Marco Scarci

What is Pectus Excavatum (funnel Chest) with Mr Marco Scarci

How can Pectus Excavatum be treated with Mr Marco Scarci

Recovering from the Nuss Procedure with Mr Marco Scarci

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About Mr Scarci

Mr Scarci undertook his specialist training in Italy, Malta, Essex Cardiothoracic Center and Guy's and St Thomas. He spent 6 months between University of Toronto and McMaster University for a fellowship in minimally invasive surgery. Mr Scarci’s practice is in pure thoracic surgery. He works closely with a large team including other surgeons, specialist nurses, radiologists and physicians to provide together with them the best outcome for patients.
His key focus is minimally invasive surgery.

Mr Scarci's areas of major interest are resection of locally advanced cancer, malignant mesothelioma, rehabilitation after thoracic surgery and clinical trials. He also has a keen interest in medical education and, after several courses, he is currently doing a master in medical education.

Mr Scarci is actively involved with the the Society of Cardiothoracic Surgeons and as a member of the new technologies and Innovation workgroup of the European Association for Cardiothoracic Surgery.
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How to contact us

Mr Scarci holds clinics in Cambridge, Norwich and Harley Street in London:

Spire Cambridge Lea Hospital
30 New Road
CB24 9EL

Ten Harley Street
10 Harley Street

Spire Norwich Hospital
Old Watton Road,
Colney, Norwich,

Call us on 01223 266929 to make an enquiry or visit

Chest and lung surgery at Spire Cambridge Lea Hospital

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