دورية أكاديمية
Comparison between minimal right vertical infra-axillary thoracotomy and standard median sternotomy for repair of atrial septal defects.
| العنوان: | Comparison between minimal right vertical infra-axillary thoracotomy and standard median sternotomy for repair of atrial septal defects. |
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| المؤلفون: | Yaliniz H; Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, 01330, Sarıcam, Adana, Turkey. Electronic address: hafize101@yahoo.com., Topcuoglu MS; Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, 01330, Sarıcam, Adana, Turkey., Gocen U; Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, 01330, Sarıcam, Adana, Turkey., Atalay A; Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, 01330, Sarıcam, Adana, Turkey., Keklik V; Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, 01330, Sarıcam, Adana, Turkey., Basturk Y; Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, 01330, Sarıcam, Adana, Turkey., Gunes Y; Department of Anesthesiology, Faculty of Medicine, University of Cukurova, 01330, Sarıcam, Adana, Turkey., Turktan M; Department of Anesthesiology, Faculty of Medicine, University of Cukurova, 01330, Sarıcam, Adana, Turkey., Salih OK; Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, 01330, Sarıcam, Adana, Turkey. |
| المصدر: | Asian journal of surgery [Asian J Surg] 2015 Oct; Vol. 38 (4), pp. 199-204. Date of Electronic Publication: 2015 Mar 13. |
| نوع المنشور: | Comparative Study; Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 8900600 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0219-3108 (Electronic) Linking ISSN: 10159584 NLM ISO Abbreviation: Asian J Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: [Amsterdam] : Elsevier Original Publication: [Hong Kong] : The Association, [1988- |
| مواضيع طبية MeSH: | Heart Septal Defects, Atrial/*surgery , Minimally Invasive Surgical Procedures/*methods , Sternotomy/*methods , Thoracotomy/*methods, Adolescent ; Adult ; Axilla ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Humans ; Male ; Retrospective Studies ; Treatment Outcome ; Young Adult |
| مستخلص: | Background: The minimal right vertical infra-axillary thoracotomy could be a safe and cosmetic alternative to standard median sternotomy. This study reviews our results and experience with a minimal right vertical infra-axillary thoracotomy technique for the repair of atrial septal defects compared with standard median sternotomy. Methods: The study was designed as a retrospective, observational, and case-controlled study. Between May 2007 and November 2012, 26 patients underwent atrial septal defect closure with standard median sternotomy (Group 1). This group was compared with 21 patients who underwent repair of atrial septal defects using minimal right vertical infra-axillary thoracotomy (Group 2). Quantitative data were given as mean ± standard deviation, and qualitative values were expressed as percentages. In the comparison of the normal variables between the two groups, we used independent sample t test, and in the comparison of categorical variables between groups, Chi-square test was used. Results: The mean length of incision was significantly shorter in Group 2 than in Group 1 (p = 0.03). The time it took to establish cardiopulmonary bypass was longer in Group 2 (p = 0.04). There were no statistically significant differences in cardiopulmonary bypass time (p = 0.11), aortic cross-clamp time (p = 0.10), and total operation time (p = 0.10) between the two groups. Group 2 had less chest tube drainage (p = 0.04), less blood transfusion (p = 0.02), and shorter postoperative mechanical ventilation time (p = 0.09) than Group 1. Conclusion: Minimal right vertical infra-axillary thoracotomy can be performed with favorable cosmetic and clinical results for atrial septal defects closure. Infra-axillary thoracotomy provides a good alternative to standard median sternotomy for patients with atrial septal defects. (Copyright © 2015. Published by Elsevier Taiwan.) |
| فهرسة مساهمة: | Keywords: atrial septal defect; repair sternotomy; thoracotomy |
| تواريخ الأحداث: | Date Created: 20150317 Date Completed: 20170116 Latest Revision: 20170116 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.asjsur.2015.01.008 |
| PMID: | 25773503 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 0219-3108 |
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| DOI: | 10.1016/j.asjsur.2015.01.008 |