Video-Assisted Thoracoscopy Nuss Procedure (bar cost excluded)

This minimally-invasive video-assisted thoracoscopy procedure is performed on a patient with congenital pectum excavatum in the operating room under general anesthesia. The operating team includes a surgeon, 3 assistants and a surgical nurse.

A surgeon with assistants makes transfixation incision in the lower third of the sternum and brings it into a moderate hypercorrection position; two approaches 3 cm each are made on each side of the medium axillary line; then tunneling in sub- muscular layer is made to the highest deformation points on both sides; retrosternal tunnel is formed with a help of thoracoscope; a correcting titanic bar is inserted, positioned and fixed (as indicated).

Indication: congenital pectum excavatum of the sternum II-III in a child.

Service duration: from 80 to 150 minutes (excluding anesthesia).

Terms of service provision

Age restrictions: child from 6 years.

Contraindications: acute infectious diseases, exacerbation of chronic diseases; heart defects requiring surgical treatment.

Preparation: a plan of presurgical examinations for elective surgery (for children): complete blood count, blood type and Rh factor; blood glucose; coagulogram; clinical urinanalysis; ECG with interpretation; counseling with an anesthesiologist (no later than 24 hours before the planned surgery); counseling with a pediatrician.

Clinical examinations to be provided no later than two weeks before surgery.

Additionally charged: general anesthesia, histological examination of the material, consumables (staplers, clips, cassettes for staplers depending on the surgical technique), inpatient treatment in the intensive care unit and inpatient department, lab tests and medications during the patient’s stay in the hospital, additional examination methods and counseling of the related medical specialists.