Donald Nuss

Specialization: Thoracic surgeon
39 years of experience
Workplace: Turkey, İzmir, Dr. Pectus Göğüs Deformitesi Kliniği
- Professor Donald Nuss developed the Nuss procedure for pectus excavatum in 1987.
- DR Pectus performs MIRPE using both the cross bar technique and 4-bar techniques.
- The Nuss/MIRPE approach uses metal rods passed under the sternum to lift it from the collapsed rib-cage region.
- For pectus excavatum, DR Pectus also discusses the Ravitch procedure as an open surgical option in selected cases.
Donald Nuss is the developer of the Nuss procedure for pectus excavatum, first described in 1987. At DR Pectus, the minimally invasive repair (MIRPE) can be performed with advanced variants including the cross bar technique and 4-bar techniques. This approach is designed to lift the sternum using one or more metal rods placed from the rib-cage entry points.

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Qualifications

The Nuss procedure for pectus excavatum was developed by Professor Donald Nuss in 1987, and it remains the most commonly used minimally invasive option for funnel chest. At DR Pectus, MIRPE is performed using the core Nuss principle: one or more metal rods enter the rib cage from the points where the ribs begin to collapse inward, then pass under the deepest part of the sternum to lift it forward. The clinic also describes that multiple bars may be required depending on the patient’s anatomy.

When MIRPE is planned, DR Pectus specifically mentions the cross bar technique and 4-bar techniques as options within the surgical spectrum. For patients who need or prefer an open approach, the Ravitch procedure is described as an open surgery option, particularly for adult patients and for advanced asymmetric deformities. The DR Pectus program frames these choices around safety, technique, and long-term outcomes rather than simply placing a bar.

Education

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Work experience

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Clinical focus and techniques

Donald Nuss is associated with pectus excavatum surgery, especially the minimally invasive MIRPE approach.

Nuss procedure (MIRPE) for pectus excavatum.
Cross bar technique within MIRPE.
4-bar techniques within MIRPE.
Ravitch procedure as an open surgical option for selected cases.

Professional societies and certifications

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Academic output

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Courses and advanced training

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Awards and recognition

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For international patients considering surgery for funnel chest, DR Pectus presents MIRPE variants (including cross bar and 4-bar techniques) as part of the treatment planning. The clinic’s content also notes that the Nuss/MIRPE approach can be adapted across age groups when the patient is appropriate for the procedure.