Comparison of clinical outcomes and postoperative recovery between two open heart surgeries: minimally invasive right subaxillary vertical thoracomy and traditional median sternotomy

Hu, Chuanxian; Tan, Juan; Chen, Sheng; Ding, Hui; Xu, Zhiwei

doi:10.1016/s1995-7645(14)60105-x

Cited by 19 publications

(15 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There was no significant morbidity or any mortality in minimal invasive ASD closure as evidenced by literature review. [17][18][19] Moreover this RVIA approach was not associated with significant increased aortic occlusion time compared to conventional midline sternotomy technique. [1][2][3][4]8,[17][18][19] So this RVIA procedure is equally safe as conventional midline sternotomy technique.…”

Section: Cosmetic Resultsmentioning

confidence: 80%

Experience of Minimal Invasive Cardiac Surgery for repair of Atrial Septal Defects- A Single Center Study

Rokonujjaman

Islam

et al. 2021

Cardiovasc. j.

View full text Add to dashboard Cite

Background: Atrial Septal Defects (ASD) can be closed surgically using conventional midline sternotomy or minimal invasive technique. This study was done to evaluate the outcome and safety of the minimal invasive cardiac surgical (MICS) approach using right vertical infra axillary incision (RVAI) for the repair of ASD. Methods: We performed a prospective observational cross-sectional analysis on 50 patients who were diagnosed as ASD of various types and not amenable to device closure. Their surgery was done RVAI using central cardiopulmonary bypass. Outcome of the study was evaluated using the following variables: length of the incision, satisfaction of patients, mortality, infection of surgical site, blood transfusion, duration of total operation, intensive care unit (ICU) stay, mechanical ventilation, hospital stay and aortic occlusion. Operations were done between December 2013 to December 2020. All the recruited patients were treated through RVAI as per patient’s choice. Results: Mean age was 11.4± 6.4 years. 18(36%) were male and 32(64%) were female. Body weight ranged from 10 to 65 kg. Mean length of incision was 6.2±0.8 cm. Mean aortic occlusion time was 42±14 min. ASD closed directly, using autologous treated pericardial patch or dacron patch. Mean total operation time was 4.08±0.6 hours and mean mechanical ventilation time was 8.3±5 hours. Average ICU stay was 35.6±6 hours and total hospital stay was 7.2±0.9 days. There was no significant blood loss. Only 10 patients required intravenous (IV) analgesics in the post-operative period. One patient required re-exploration, one conversion to median sternotomy and one suffered from superficial skin infection. There were no operative or late mortalities. Patient satisfaction was excellent. Conclusions: MICS technique using RVAI for surgical repair of ASD revealed a safe procedure and could be performed with excellent cosmetic and clinical outcomes. It provided a good alternative to the standard median sternotomy. Cardiovasc j 2021; 14(1): 37-43

show abstract

Section: Cosmetic Resultsmentioning

confidence: 80%

Experience of Minimal Invasive Cardiac Surgery for repair of Atrial Septal Defects- A Single Center Study

Rokonujjaman

Islam

et al. 2021

Cardiovasc. j.

View full text Add to dashboard Cite

show abstract

“…9,13 This vertical right axillary incision is primarily utilized by Chinese centers, and similar to transverse axillary centers the vertical incision is primarily utilized to repair ASDs and VSDs. 2,9,13,14 Finally, a chest tube placed through the initial right axillary incision minimizes the number of incisions and leaves the anterior chest and abdomen unscathed. Importantly, we believe the right axillary incision requires a distinct skill set from port access surgery with or without robotic assistance.…”

Section: Discussionmentioning

confidence: 99%

The Right Axillary Incision: A Potential New Standard of Care for Selected Congenital Heart Surgery

Lee

Weiss

Williams

et al. 2018

Seminars in Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

“…Even for SRSMT, the duration was longer than that for traditional surgery. 17,18 Therefore, even small incision surgery with beautiful surgical scars may not be the perfect surgical method.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Transthoracic Device Closure and Surgical Repair with Right Submammary or Right Infra-axillary Thoracotomy for Perimembranous VSD

Chen

Lin

Hong

et al. 2018

Thorac cardiovasc Surg

View full text Add to dashboard Cite

show abstract

Comparison of clinical outcomes and postoperative recovery between two open heart surgeries: minimally invasive right subaxillary vertical thoracomy and traditional median sternotomy

Cited by 19 publications

References 20 publications

Experience of Minimal Invasive Cardiac Surgery for repair of Atrial Septal Defects- A Single Center Study

Experience of Minimal Invasive Cardiac Surgery for repair of Atrial Septal Defects- A Single Center Study

The Right Axillary Incision: A Potential New Standard of Care for Selected Congenital Heart Surgery

Comparison of Transthoracic Device Closure and Surgical Repair with Right Submammary or Right Infra-axillary Thoracotomy for Perimembranous VSD

Contact Info

Product

Resources

About