{"id":2319,"date":"2025-07-02T07:37:30","date_gmt":"2025-07-02T07:37:30","guid":{"rendered":"https:\/\/www.drpectus.com\/nuss-procedure\/"},"modified":"2025-12-18T00:28:24","modified_gmt":"2025-12-18T00:28:24","slug":"nuss-procedure","status":"publish","type":"page","link":"https:\/\/www.drpectus.com\/tr\/nuss-procedure\/","title":{"rendered":"Nuss Prosed\u00fcr\u00fc"},"content":{"rendered":"[vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”1719″ image_size=”medium” max_width=”100%” max_width_mobile=”default” animation_type=”entrance” animation=”None” animation_movement_type=”transform_y” hover_animation=”none” alignment=”center” border_radius=”none” box_shadow=”none” image_loading=”default”][vc_column_text css=”” text_direction=”default”]\n
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MIRPE (Pektus Ekskavatum\u2019un Minimal \u0130nvaziv Onar\u0131m\u0131) \u2013 (Modifiye) Nuss Y\u00f6ntemi<\/strong><\/h2>\n

Pektus Ekskavatum\u2019un Minimal \u0130nvaziv Onar\u0131m\u0131 (MIRPE)<\/strong>, pektus ekskavatum deformitesinin tedavisinde kullan\u0131lan bir y\u00f6ntemdir.
MIRPE tekni\u011fi, hastan\u0131n sa\u011f ve sol kaburgalar\u0131n\u0131n i\u00e7e \u00e7\u00f6kmeye ba\u015flad\u0131\u011f\u0131 noktalardan g\u00f6\u011f\u00fcs kafesine girilerek<\/strong>, sternum kemi\u011finin en \u00e7\u00f6k\u00fck noktas\u0131n\u0131n alt\u0131ndan ge\u00e7en bir veya birden fazla metal \u00e7ubuk<\/strong> yard\u0131m\u0131yla sternumu yukar\u0131 kald\u0131rma prensibine<\/strong> dayan\u0131r.<\/p>\n

Bu y\u00f6ntemi ilk tan\u0131mlayan \u00e7ocuk cerrah\u0131 Prof. Dr. Donald Nuss<\/strong>, k\u00fc\u00e7\u00fck \u00e7ocuklarda bu \u00e7ubu\u011fu parmaklar\u0131yla yerle\u015ftirerek uygulam\u0131\u015ft\u0131r.
Zamanla teknik geli\u015ftirilmi\u015f ve m\u00fckemmelle\u015ftirilmi\u015f, bu haliyle \u201cModifiye Nuss Prosed\u00fcr\u00fc\u201d<\/strong> ad\u0131n\u0131 alm\u0131\u015ft\u0131r.
Genel olarak, t\u00fcm varyasyonlar MIRPE<\/strong> ba\u015fl\u0131\u011f\u0131 alt\u0131nda toplan\u0131r.<\/p>\n

Dr. Pectus Klini\u011fi<\/strong> olarak, d\u00fcnyada yaln\u0131zca birka\u00e7 merkezde uygulanabilen Cross Bar<\/strong> tekni\u011fi d\u00e2hil olmak \u00fczere, taraf\u0131m\u0131zca literat\u00fcre kazand\u0131r\u0131lm\u0131\u015f 4 Bar tekni\u011fi<\/strong> de d\u00e2hil t\u00fcm yelpazede bu ameliyat\u0131 ger\u00e7ekle\u015ftirebilmekteyiz.
Bug\u00fcne kadar \u00e7ok say\u0131da vaka deneyimimizle, bu ameliyat\u0131 d\u00fcnyada en s\u0131k ger\u00e7ekle\u015ftiren kliniklerden biri olman\u0131n gururunu<\/strong> ta\u015f\u0131yoruz.<\/p>\n<\/div>\n[\/vc_column_text][vc_video link=”https:\/\/www.youtube.com\/watch?v=AcKNkshWEcM” css=””][vc_column_text css=”” text_direction=”default”]\"\"<\/p>\n

Bu ameliyat i\u00e7in ya\u015f s\u0131n\u0131r\u0131 yoktur. Uygun hastada her ya\u015fta yap\u0131labilir. D\u00fcnyada 40 ya\u015f ve \u00fczeri olgularda bildirilen en geni\u015f olgu serisini literat\u00fcre kazand\u0131rarak yay\u0131nlad\u0131\u011f\u0131m\u0131z makaleye buradan ula\u015fabilirsiniz.<\/p>\n

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MIRPE veya Nuss Prosed\u00fcr\u00fc uygulan\u0131rken, hastan\u0131n durumuna ba\u011fl\u0131 olarak bazen birden fazla bar kullan\u0131lmas\u0131 gerekebilir. Bu durumlarda, d\u00fcnya \u00e7ap\u0131nda bir\u00e7ok merkezde klasik yakla\u015f\u0131mda bu barlar paralel formda yerle\u015ftirilir. Ancak, barlar\u0131 diyagonal olarak yerle\u015ftirmenin de paralele g\u00f6re b\u00fcy\u00fck avantajlar\u0131 vard\u0131r. D\u00fcnyada \u00e7apraz bar tekni\u011fini kullanan \u00e7ok az merkez bulunmaktad\u0131r. 5 \u00fclkede \u00e7apraz bar cerrahisi ger\u00e7ekle\u015ftiren 6 merkezden meslekta\u015flar\u0131mla birlikte, sayg\u0131n bir ISI indeksli (SCI-exp) dergide (Updates in Surgery) \u00e7ok merkezli uluslararas\u0131 bir \u00e7al\u0131\u015fma yay\u0131nlad\u0131k. 213’\u00fc paralel barl\u0131 ve 205’i \u00e7apraz barl\u0131 olmak \u00fczere toplam 418 hastan\u0131n verilerini inceleyerek, \u00e7apraz bar\u0131n hangi durumlarda, paralel bar\u0131n hangi durumlarda kullan\u0131lmas\u0131 gerekti\u011fi konusunu bilimsel literat\u00fcre a\u00e7\u0131kl\u0131\u011fa kavu\u015fturmaktan onur duyduk. Dr. Pectus Clinic, tek bir tekni\u011fe fanatik bir \u015fekilde ba\u011fl\u0131 kalmayarak, her iki tekni\u011fi de uygulayabilme ve bunu yeterli say\u0131da hasta \u00fczerinde bilimsel kan\u0131tlara dayand\u0131rma becerisiyle, hangi hasta i\u00e7in hangi tekni\u011fin kullan\u0131laca\u011f\u0131n\u0131 se\u00e7me konusunda engin deneyimini g\u00f6stermi\u015ftir. T\u00fcm bu deneyimle, sizin i\u00e7in en iyi tedavi y\u00f6ntemini se\u00e7ece\u011finden hi\u00e7 \u015f\u00fcpheniz olmas\u0131n. Pectus’un kaderiniz olmas\u0131na izin vermeyin!\"\"<\/span><\/p>\n

Nuss prosed\u00fcr\u00fc ile d\u00fczeltme yap\u0131lan hastam\u0131z\u0131n g\u00f6r\u00fcnt\u00fcs\u00fc.<\/p>\n

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