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).
Age restrictions: child from 6 years.
Contraindications: acute infectious diseases, exacerbation of chronic diseases; heart defects requiring surgical treatment.
Preparation
- 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,
- inpatient treatment in the intensive care unit and inpatient department,
- histological examination of the material,
- consumables (staplers, clips, cassettes for staplers depending on the surgical technique),
- lab tests and medications during the patient’s stay in the hospital,
- additional examination methods and counseling of the related medical specialists.
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