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It gradually decreases over 4-6 weeks.","preparation":["Chest CT or MRI to measure the Haller index","Echocardiogram and pulmonary function tests","ECG and routine preoperative blood tests","Anesthesia assessment","Discussion of surgical technique and expected recovery","Review of metal allergies","Avoid smoking before surgery","Fasting before general anesthesia as instructed"],"recovery_timeline":[{"phase":"Hospital stay (days 0-4)","description":"Pain control, breathing exercises, early walking and chest radiograph monitoring.","restrictions":["No bending or twisting of the trunk","Log-roll to get out of bed"]},{"phase":"Early recovery (weeks 1-4)","description":"Gradual reduction in pain medication, daily walking and wound healing; return to desk work or school.","restrictions":["No heavy lifting","No twisting or reaching overhead excessively","Avoid sleeping on the side or stomach as advised"]},{"phase":"Intermediate (weeks 4-12)","description":"Return to light exercise and normal daily activities as comfort allows.","restrictions":["No contact sports","No heavy weights"]},{"phase":"Bar in place (months 3-36)","description":"Normal daily activities resume; chest remodeling continues until bar removal in a minor outpatient procedure.","restrictions":["Avoid contact sports and high-impact activity"]}],"rehabilitation_days":{"min":28,"max":56,"unit":"days","qualifier":"Ordinary functional recovery to normal daily activities after minimally invasive repair; not a formal physiotherapy program."},"result_longevity":"Correction is usually long-lasting after the bar is removed, but recurrence can occur in some patients, particularly in the setting of connective tissue disorders or early bar removal.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Unplanned reoperation, mainly for bar displacement, infection or persistent deformity, in adults after Nuss repair."},"scars":"Minimally invasive repair leaves small lateral chest incisions (about 2-4 cm) and a tiny thoracoscope port scar; these fade over months. The open (Ravitch) approach leaves a longer midline or inframammary scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical repair; bar removal after about 2-3 years is a separate later procedure."},"stages":[{"code":"surgical_repair","label":"Surgical repair of the chest wall deformity","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage surgical repair; later bar removal is not counted as part of the initial treatment."},"success":{"metric":"Good or excellent chest contour and patient-reported satisfaction","value":90,"unit":"percent of patients","horizon":"After bar removal, about 3 years","population":"Adults after Nuss repair for moderate to severe pectus excavatum","evidence_status":"limited"},"techniques":[{"name":"Nuss procedure (minimally invasive repair)","suits_whom":"Most adolescents and many adults with a flexible chest wall and symmetric deformity.","recovery":"Hospital stay of 2-5 nights; light activity in 2-4 weeks; bar removed after about 2-3 years."},{"name":"Ravitch procedure (open repair)","suits_whom":"Severe, asymmetric or rigid deformity, or recurrence after prior repair.","recovery":"Longer operation and hospital stay of about 3-6 nights, with a longer midline or inframammary scar."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operating time for a primary minimally invasive (Nuss) repair; open repair often takes longer."},"initial_assessment_documents":["Front, side and oblique chest photos","Chest CT scan report with Haller index","Chest X-ray, frontal and lateral","Echocardiogram report","Pulmonary function test results","ECG report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip: 7-10 days, including 2-5 hospital nights and wound and X-ray check. Bar removal needs a later trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical 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Redness around the wound. Swelling or bleeding from the surgical cuts. Chest pain. 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