Patient perception, satisfaction and cosmetic results of surgical atrial septal defect closure: Minithoracotomy versus sternotomy

Kaya, Mehmet

doi:10.5606/tgkdc.dergisi.2015.10473

Cited by 3 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In RLMT, the incision does not have a negative effect on breast tissue development, as it does not cross the anterior axillary line. Because of the scar that remains in the bikini area, it provides much better esthetic results with great patient and parent satisfaction compared to standard sternotomy ( 6 , 7 ).…”

Section: Resultsmentioning

confidence: 99%

Toward Routine Minimally Invasive Ventricular Septal Defect Closure Via Right Lateral Minithoracotomy

et al. 2021

View full text Add to dashboard Cite

Background: Improving the surgical results and recent advancement of transcatheter techniques for closure of ventricular septal defect (VSD) increased the demand for minimally invasive approaches. In this study, we analyzed the results of the patients who underwent VSD closure with right lateral minithoracotomy (RLMT).Methods: Between September 2014 and February 2021, 24 patients underwent minimally invasive VSD closure with RLMT. The median age of the patients was 16 months (range, 4-84 months). Fifteen patients (62.5%) were female. The median weight of the patients was 9.75 kg (range, 4.6-30 kg). The types of VSD were perimembranous in 19 patients, subaortic in three patients, inlet in one patient, and subpulmonic in one patient. Five patients had low-lying pulmonary stenosis in addition to VSD.Results: No perioperative death or major complication occurred during follow-up. All defects were repaired through RLMT. The median cardiopulmonary bypass time was 81 min (range, 44-163 min), and the aortic cross-clamp time was 65 min (range, 33-131 min). The median hospital stay was 6 days (range, 5-21 days). One patient had minimal (2 mm) residual left-to-right shunt. All families were satisfied with the cosmetic results during the follow-up.Conclusions: The RLMT method is a safe and effective alternative to standard median sternotomy for VSD closure and can be performed with favorable cosmetic and clinical results.

show abstract

Section: Resultsmentioning

confidence: 99%

Toward Routine Minimally Invasive Ventricular Septal Defect Closure Via Right Lateral Minithoracotomy

et al. 2021

View full text Add to dashboard Cite

show abstract

“…ASD is a prevalent congenital heart condition.Because most individuals with this heart problem are ineligible for percutaneous ASD closure, surgery is advised. 7 For decades, midline sternotomy has been used to repair ASDs with minimal perioperative complications and great long-term results. 4 To lessen surgical trauma and improve cosmetics, minimally invasive surgical approaches such as RALT have been used to repair ASD.…”

Section: Discussionmentioning

confidence: 99%

Right anterolateral minithoracotomy versus median sternotomy in atrial septal defects closure .

Mohammed

Mashtoly²,

Khonezy³

et al. 2022

Al-Azhar International Medical Journal

View full text Add to dashboard Cite

Background: Over the years, surgeons have used a midline sternotomy to repair atrial septal defects (ASD) with good long-term outcomes but unsatisfactory cosmosis.Because of this, less intrusive surgical procedures are employed to lessen surgical trauma and improve the final cosmetic outcome.Aim of the study: to assess ASDs repair using right-anterolateral minithoracotomy (RALT) versus median sternotomy in terms of surgical outcomes.Patients and Methods: Our study was prospective, comparative, nonrandomized ,non-blinded study that carried out at our institution between June 2016 and October 2018. It included forty surgical candidates who had isolated ostium secondum ASDs; patients were allocated to either group I (RALT group) (n=20),or group II (conventional sternotomy) (n=20). Results: before surgeries, demographic and echocardiographic data were comparable in both groups except for more female patients(80%) in group I(p-value=0.022) and more patients with low body surface area in group II(p-value=0.002).Group II had considerably shorter total bypass time than group I(p-value=0.004).After surgeries, data were identical in both groups regarding ICU and total hospital stay, chest tube drainage,and amount of blood transfusion.However,group I had significantly shorter mechanical ventilation time(p-value=0.002) and smaller length of wound (p <0.001).Wound infection rate was substantially higher in sternotomy group(p-value=0.035).Patient satisfaction was higher in minithoracotomy group(90%) than in sternotomy group(60%).No cases required conversion to sternotomy in group I. Neither residual defects nor mortality were encountered in both groups. Conclusion: Right anterolateral minithoracotomy approach is safe, effective,cosmetic, less traumatic, and saving resources.

show abstract

“…Оң жақтық постеролатеральды миниторакотомия кезінде кесу сүт безі тінінің дамуына теріс әсер етпейді, өйткені ол алдыңғы қолтық асты сызығын кесіп өтпейді. Ал перифериялық канюляция болған бикини аймағында қалған тыртық болғандықтан, ол стандартты стернотомиямен салыстырғанда пациент пен ата-ананың үлкен қанағаттануымен әлдеқайда жақсы эстетикалық нәтиже береді [28,29]. ҚПА--ын транскатетер арқылы жабу соңғы уақытта транскатетерлік әдістердің жетілдірілуіне байланысты танымал болды, бірақ әсіресе дене салмағы төмен және қолқа қақпақшаларының жанында ҚПА бар науқастар әдетте бұл әдіске жарамайды [30].…”

unclassified

Хирургическая Коррекция Дефекта Межжелудочковой Перегородки: Обзор Литературы

Курамыс,

Джошибаев,

Шейшенов

et al. 2023

Farmaciâ Kazahstana

View full text Add to dashboard Cite

Установлено, что при лечении дефекта межжелудочковой перегородки кардиохирургия является наиболее эффективным и действенным методом. На протяжении более трех десятилетий срединная продольная стернотомия была стандартным оперативным методом со средней степенью успеха 4-5%.Для хирургической коррекции дефекта межжелудочковой перегородки большинстов специалистов были предложены различные новые методы: нижняя министернотомия, трансксифоидная стернотомия, переднебоковая торакотомия, заднебоковая торакотомия и др.. Кроме того, были проанализированы и обсуждены методики безразрезной (эндоваскулярной) коррекции дефекта межжелудочковой перегородки, разработанные в соответствии с современными требованиями. Однако на сегодняшний день все еще проводятся исследования преимуществ и недостатков методов миниинвазивной хирургической коррекции дефекта межжелудочковой перегородки для предложения оптимального метода. Результаты каждого исследования изменяли подход к каждому используемому методу, определяли новые методы, описывали уровень использования и давали рекомендации кардиохирургическому сообществу. Целью данного обзора литературы был поиск данных о широко применяемой стандартной срединной стернотомии и различных малоинвазивных хирургических методиках, включая миниторатотомический доступ, применяемых для закрытия дефекта межжелудочковой перегородки. Это связано с тем, что правильно выбранный малоинвазивный кардиохирургический метод должен не только уменьшить косметические и психосоциальные проблемы, но и увеличить продолжительность и качество жизни детей. Недавние обзоры показали, что малоинвазивная миниторатотомная хирургическая коррекция дефекта межжелудочковой перегородки является перспективным и безопасным подходом к коррекции некоторых врожденных пороков сердца как у детей, так и у взрослых с врожденными дефектами сердца.

show abstract

Patient perception, satisfaction and cosmetic results of surgical atrial septal defect closure: Minithoracotomy versus sternotomy

Cited by 3 publications

References 19 publications

Toward Routine Minimally Invasive Ventricular Septal Defect Closure Via Right Lateral Minithoracotomy

Toward Routine Minimally Invasive Ventricular Septal Defect Closure Via Right Lateral Minithoracotomy

Right anterolateral minithoracotomy versus median sternotomy in atrial septal defects closure .

Хирургическая Коррекция Дефекта Межжелудочковой Перегородки: Обзор Литературы

Contact Info

Product

Resources

About