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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 setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Swelling or bleeding from the surgical cuts","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22635-nuss-procedure","host":"my.clevelandclinic.org","quote":"Swelling or bleeding from the surgical cuts.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Feeling the bar has moved out of place","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22635-nuss-procedure","host":"my.clevelandclinic.org","quote":"A feeling that the bar has moved out of place.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Redness around the wound","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22635-nuss-procedure","host":"my.clevelandclinic.org","quote":"Redness around the wound.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Shortness of breath","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22635-nuss-procedure","host":"my.clevelandclinic.org","quote":"Contact your child’s provider if your child is experiencing any of these: Fever . Redness around the wound. Swelling or bleeding from the surgical cuts. Chest pain. Shortness of breath","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You would rather try a non-surgical treatment first","name":"Vacuum bell therapy","source":{"url":"https://www.chestwallservice.scot.nhs.uk/?p=234","host":"chestwallservice.scot.nhs.uk","quote":"The vacuum bell is the first device developed specifically to offer a non-surgical treatment for Pectus Excavatum.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"nuss-procedure","name":"Nuss procedure (minimally invasive repair)","how_it_works":{"text":"A curved bar is placed under the breastbone to lift it","source":{"url":"https://my.clevelandclinic.org/health/treatments/22635-nuss-procedure","host":"my.clevelandclinic.org","quote":"This curved bar, made to fit your child, goes under their breastbone to lift it.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":null},{"id":"ravitch-procedure","name":"Ravitch procedure (open repair)","how_it_works":{"text":"Abnormal cartilage is removed and the breastbone returns to position","source":{"url":"https://my.clevelandclinic.org/health/procedures/ravitch-procedure","host":"my.clevelandclinic.org","quote":"The Ravitch procedure works by removing abnormal cartilage and returning your child’s sternum to a normal position.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=dusseldorf/procedure=operacia-pri-voronkoobraznoj-deformacii-grudnoj-kletki/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}