2014-11-02T04:40:55+00:00
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MIRPE India

Minimally Invasive repair of Pectus Excavatum in India is very reasonable as compared to the western countries.  Low costs and quality treatment are two big draws for thousands of sunken chest patients, who seek affordable nuss procedure in India. Check out this interview of an Indian surgeon who discusses sunken chest deformity and throws light on the modified nuss procedure in India.

Following is the video narration.

Modified Nuss Surgery India

Minimally Invasive repair of Pectus Excavatum, also known as Nuss procedure, which has undergone various changes overtime and we have got modified nuss procedure or we call it minimally invasive repair of Pectus excavatum.
Other named about ___ this is basically common layman know it __ it is a depression in the centre order _.
This is what is called general classification _ repair of such defects, because we have got variety of defects in such cases – symmetrical and asymmetrical, _segment or non-segment, various angulations.
It is a CT image of such cases, where you can see there is depression here. And as you can see here it is because of depression, the heart is pushed inside, you can see it, the space within breast bone and heart, there is hardly any space. It is like you are compressing your heart. You are squeezing your heart. So there is definitely an impact on the physiology of the heart and lung system.

Minimally Invasive repair of Pectus Excavatum in India

It is again CT images of symmetrical defects – asymmetrical defects. This shows us basically what is minimally invasive repair. It involves basically a stainless steel bar which is contoured in such …desired shape of the chest wall’s form. Like, see, once we put a bar and then rotate it, we get a symmetrical chest on both sides,which is a desired __. One thing is about this is that this Pectus excavatum has been treated neglective… many other places thinking it just to be the case of cosmetic surgery which is not true, because it is more physiological as well as psychosocial impact. And it should be treated as a disease. And not just as a cosmetic defect.
Pre- operative evaluation in all cases require CT thorax and other investigation to look for fitness for surgery and any associated cardiac__.

This is just a video which is showing with the morphology of the defect, as we can see here , that the defect is such that we can even collect a pool of solution that is _. The defect is so much that you can see__.

There are a few landmarks – during the surgery which is important __ we require a single stainless steel bar or two stainless steel bars. We are basically looking for sites of maximal depression and sites of elevation and points where we are going for surgery and we have to measure what size of the bar has to be placed. This is showing about the bar bending techniques.

The first one you can see is the symmetrical where is the defect is symmetrical, that is located in the centre. You can not really describe the defect, it is difficult but morphological classification you can know it as ___ here you can see defect more on the left side and some times, it is more on the right side, irregularly placed angularly. So accordingly the bar is also needed to be bended as asymmetrical bar, seagull bar or omega bar- that is basically based on the defects.

Just show you the bar bending techniques. After we have_ all the landmarks, seen everything marked on the stainless steel bar. We use hand helper bar bender. This is a bar mender which is a hand help one.we bend its parts and see if bar fits_____.

In the video, a leading surgeon from India talks about modified nuss surgery. He also discusses pectus excavatum surgery procedure India in detail.

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