Minimally Invasive Cardiac Surgery Experiences in a District Branch Hospital

Abstract

With the development of technology and surgical experiences, minimally invasive approaches are getting more preferable by physicians. Also these smaller incisions provide patients to have higher life quality at their postoperative periods. In this study we aimed to report our minimally invasive approach experiences. Patients and Methods: In our clinic 10 patients underwent open heart surgery with minimally invasive approaches between March 2010 and January 2014. The mean age was 50.5±26 years (range, 22-82 years). Six of them were females (60%). Four patients have had previous open heart surgery through standard sternotomy. Ministernotomy was performed in 4 patients, 5 patients' operations were done via right anterior mini-thoracotomy and one patient was operated via left anterior minithoracotomy. Results: The mean operation duration was 6.8±1.8 hours (range, 4-10 hours) (time elapsed from anesthesia induction to wound closure with sterile sponge). Only one patient was extubated in operating theatre. Early mortality (in postoperative 30 days) was seen in only one patient. One patient was admitted to hospital with wound complication and re-hospitalized for wound care. Conclusion: With developments in cardiac surgery field, many disorders are repaired via minimally invasive techniques providing exposures as good as conventional approaches. In recent years, many clinics reported their experiences at these applications with excellent results. Minimally invasive cardiac surgery does not have worse mortality rates than standard techniques. Also, it enables patients to return to their own normal activities, providing them with less wound complications. With the increasing experiences, minimally invasive cardiac surgery may be considered in those appropriate patients and particularly in patients who care about their own appearances.

Partial Upper Sternotomy for Concomitant with Ascendant Aorta Replacement or Isolated Aortic Valve Implantation

“…Search of the two hospitals' databases revealed a total of 34 patients who underwent isolated aortic valve replacement or Bentall procedure during the aforementioned time period. Minimal invasive cardiac operations including mitral or aortic valve surgery, coronary artery bypass grafting (CABG) and atrial septal defect repair have been being performed occasionally in both institutions since 2010 and the results of these procedures have been previously reported elsewhere (3)(4)(5) . The present study included only patients undergoing aortic valve replacement and those undergoing other procedures were excluded.…”

The learning curve in minimally invasive cardiac surgery procedures: a single surgeon experience

“…In many publications, it is said that patients who underwent less invasive surgery have less pain post operatively and return to the daily life in a short time. [2,5,6]. Minimally invasive cardiac surgery, when the heart can be accessed typically through the left or right mini-thoracotomy or mini-sternotomy, may alleviate this problem.…”