Minimally Invasive Pediatric Cardiac Surgery is Here to Stay

Gil-Jaurena, Juan-Miguel

doi:10.26717/bjstr.2018.07.001455

Cited by 1 publication

(1 citation statement)

References 34 publications

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“…In an effort to reduce the surgical trauma, for the purpose of early rehabilitation of patients and in order to achieve a good cosmetic effect, few researchers from large cardiac surgery centers in the world eliminate isolated defects of the heart septum and some congenital defects associated with them using different options for right-sided thoracotomy. [14][15][16][17][18][19][20][21] The use of this approach, in contrast to the longitudinal median sternotomy, preserves the musculoskeletal frame of the chest, reduces surgical trauma, reduces the frequency of purulent-septic complications, gives a good cosmetic effect, shortens the patient's stay in the hospital, accelerates rehabilitation, and, consequently, reduces treatment costs.…”

Section: Methodsmentioning

confidence: 99%

Right thoracotomy - an alternative surgical access in the surgery of congenital heart defects

2021

jcdr

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Background: In this report presented the results of surgical correction in septal defects associated with congenital heart defects from right-sided lateral thoracotomy. Carried out comparative assessment of perioperative indicators, such as the duration of the operation, the duration of artificial circulation, the duration of artificial ventilation of the lungs, the time of staying patients in the intensive care unit and postoperative hospital days in patients operated from right-sided lateral thoracotomy and standard longitudinal sternotomy.Methods: Were analyzed the results of surgical treatment of 150 patients with isolated heart septal defects, a combination of heart septal defects with pulmonary artery stenosis, with anomalies of the inflow of the pulmonary veins, with atrioventricular valve pathologies, as well as with aortic valve insufficiency. All patients were divided into two groups of equal number of patients. I -group (main group) of 75 patients operated on from a right-sided lateral thoracotomy. II -group (control group) 75 patients operated on from a median longitudinal sternotomy.Results: In the group of patients operated from lateral thoracotomy, there was a significant reduction in the total duration of operation, a shortening of the time of artificial lung ventilation, the length of stay of patients in the intensive care unit and reduction of postoperative hospital days. The duration of cardiopulmonary bypass among patients of both groups did not differ significantly, being 35.6 ± 3.45 minutes in the main group, and 39.48 ± 3.48 minutes in the control group, p = 0.43.All performed operations from right-sided thoracotomy access proceeded without technical difficulties, and the stages of elimination of existing defects were carried out in full according to the standard protocol. In no case was there a need for conversion. Patients were particularly satisfied with the achieved cosmetic effect. Conclusions:Based on the obtained results, the authors of the report came to the conclusion that right-sided thoracotomy can be used as an alternative surgical access to the standard sternotomy access in the surgery of septal defects and some congenital heart defects associated with it in conditions of artificial circulation. This access is less traumatic, better tolerated by patients and subsequently gives fewer complications.

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Section: Methodsmentioning

confidence: 99%

Right thoracotomy - an alternative surgical access in the surgery of congenital heart defects

2021

jcdr

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show abstract

Minimally Invasive Pediatric Cardiac Surgery is Here to Stay

Cited by 1 publication

References 34 publications

Right thoracotomy - an alternative surgical access in the surgery of congenital heart defects

Right thoracotomy - an alternative surgical access in the surgery of congenital heart defects

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