【Summary】 Funnel thoracic deformities are ever-changing, and in most cases the shape is not a typical type. Nuss surgery is a type of surgery for funnel chest treatment, but it is not a one-size-fits-all procedure. If you use the procedure at any time without thinking, you will pay a heavy price. Wang surgery is also not a one-size-fits-all surgery, but in the many special types of funnel chest surgery mentioned above, this method can not only effectively resolve risks, but also greatly reduce the difficulty of surgery and obtain very satisfactory results. It can be seen that Wang surgery is a funnel chest treatment technique that needs more attention.
The general funnel chest can be used with both Wang surgery and Nuss surgery, and if the risk and difficulty of surgery are not considered, the two will have similar effects. However, for many special types of funnel chests, Wang surgery will be the only reasonable option. These special types include the following:
(1) Asymmetrical funnel chest. The asymmetrical funnel chest is essentially equivalent to a compound deformity. Such deformities objectively require surgery from both directions. Nuss surgery does not have such a direct function, even if the use of curved asymmetrical steel plate, there will be many drawbacks, so it is not a suitable choice. Instead, the principle of Wang's surgery is a template shaping surgery, so this deformity can be well handled.
(2) Funnel chest with acute angle deformity. Acute angle deformity refers to the situation where the edge or bottom of the funnel chest is sharply angled, and is a more special type. In such cases, Us surgery with Nuss is the most mentally retarded approach, meaningless, useless, and the only option is Wang surgery.
(3) Funnel chest After the failed Surgery of the Funnel Chest Nuss. After failed Nuss surgery, a severe adhesion will form on the surface of the heart, and if a steel plate is placed from the adhesion, it is easy to break the heart, so if there is another option, you must not do such surgery. Wang surgery can reasonably avoid the adhesions of the first operation, so it is the most ideal choice.
(4) Funnel chest with heart surgery. Heart surgery generally involves opening the chest through the middle of the anterior chest wall, and such an incision is most suitable for Wang surgery. If Nuss surgery is performed by making an incision from the lateral chest wall, it is obviously superfluous.
(5) Funnel chest after heart surgery. The funnel chest after cardiac surgery is equivalent to the failure of the funnel chest Nuss surgery, and its main problem is still the problem of adhesion, so it cannot be operated on with Nuss, only with Wang surgery.
(6) A deeply sunken funnel chest. Such surgery is the biggest consideration for the doctor's technology, and it will not be possible to use Nuss surgery directly, and the only way is Wang surgery.
Funnel thoracic deformities are ever-changing, and in most cases the shape is not typical. Nuss surgery is a type of surgery for funnel chest treatment, but it is not a one-size-fits-all procedure. If you use the procedure at any time without thinking, you will pay a heavy price. Wang surgery is also not a one-size-fits-all surgery, but in the many special types of funnel chest surgery mentioned above, this method can not only effectively resolve risks, but also greatly reduce the difficulty of surgery and obtain very satisfactory results. It can be seen that Wang surgery is a funnel chest treatment technique that needs more attention.