Reverse Nuss Procedure
Why would this procedure be needed?
The Abraham or Reverse-Nuss procedure is done for severe cases of pectus carinatum, a chest deformity categorised by a defect in the chest that causes the breastbone to protrude from the chest. The conditions are often called pigeon chest since the bulging gives the chest a birdlike appearance.
Pectus carinatum can cause significant issues with confidence and self-esteem. Pectus carinatum can be mild, moderate or severe. For mild cases, external bracing may be considered however for more severe cases, Dr Schewitz may suggest corrective surgery, the Abraham or Reverse-Nuss procedure.

How is this procedure done?
The Abraham or Reverse-Nuss procedure is done the same way in which the Nuss procedure is done, except reversed. By making two small incisions into the chest, Dr Schewitz will place a stainless steel bar in front of the deformed breastbone and attach it to the outer edge of the ribs. The bar now runs beneath the musculature, but above the ribs, pushing down the protruding section of cartilage. This bar is then left in place to bend the breastbone back into its correct position over the next few years (usually 3 years).



What can be expected after surgery in terms of recovery?