Все, що треба знати перед операцію за Насс/Лійкоподібна деформація грудної клітки/ЛДГК

In this video, I explain in detail in a question-and-answer format what pectus excavatum is and when to consider Nuss/NASA surgery. You will learn why the deformity occurs, how it affects the heart and lungs, what tests are needed before surgery, and what age is optimal for surgery. We will take a step-by-step look at how the “internal brace system” works – metal plates that straighten the chest – and why we use titanium retainers. I explain the role of endoscopic control during surgery, how many plates may be needed, and how long they should remain in the body to avoid relapse. A separate part of the video is devoted to rehabilitation: pain control, how to sleep and move in the first weeks, when you can shower, how to organize self-care, and prevention of constipation on painkillers. We also talk about returning to normal life: studying, sports, bodybuilding, traveling, going through metal detectors at airports, intimate life, pregnancy and childbirth with chest plates. Finally, I explain when and how the plate is removed (after about three years), how much easier it is than the initial surgery, and what are the real risks of the chest "falling" again after the fixator is removed. This video will be useful for patients, their parents, and doctors looking for structured, honest, and practical information about the correction of funnel chest deformity. 00:00 – Introduction: who is this video for and what is it about 00:10 – Why does funnel chest deformity occur 00:38 – Why does the deformity become noticeable during puberty 01:00 – How does a depressed sternum affect the heart and lungs 01:19 – Medical indications for surgery (Haller index, complaints) 01:38 – Mandatory examinations before surgery (CT/MRI, EchoCG, spirometry) 02:02 – Optimal age for Nuss surgery 02:27 – Features of surgery in adult patients 25+ years old 02:45 – Results of surgery in adults, impact on symptoms 02:54 – The essence of the Nuss/NASA method: “internal bracket system” 03:02 – How to install a metal plate, turn and align the sternum 03:19 – Endoscopic control: safety of the heart and large vessels 03:41 – How many plates are needed: 1 or 2 and what does it depend on 03:55 – What metal are the plates made of, why titanium and the risk of allergies 04:08 – Pain control: epidural anesthesia 04:19 – How many days in the hospital, the first day after surgery 04:36 – How to survive sneezing, coughing and laughing after surgery 05:04 – Sleep and rest: why you should sleep half-sitting for the first weeks 05:25 – When can you sleep on your side 05:36 – Clothes, shower and hygiene without raising your arms above your shoulders 05:55 – Self-care and constipation prevention 06:08 – Bidets, wet wipes and household life hacks 06:23 – Metal detectors at the airport and the titanium plate 06:57 – Why certificates are often not needed and how security services react 07:03 – Intimate life: when can you return to sexual activity activities 07:24 – Is it possible to do sports, bodybuilding, contact sports 07:37 – When can you swim, run and work out in the gym 07:45 – Pregnancy and childbirth with plates: real cases 08:02 – Why doctors may recommend a cesarean section 08:08 – Incisions, scar length and how they look after a year 08:26 – The feeling of a “foreign body” and when it disappears 08:38 – How self-esteem changes after correction 08:46 – Can the chest collapse again after plate removal 09:00 – Why it is important to wear the plate for at least three years 09:06 – Fixator removal surgery: how it goes 09:17 – Recovery after plate removal and returning to a full life --- 📞 Make an appointment for a consultation: +38 094 821 08 30 🌐 More information: http://pectus.surgery 💬 Free consultation on Telegram: https://t.me/ProfFishchenko