التفاصيل البيبلوغرافية
| العنوان: |
Benefits Of Using A Small Skin Incision For Carotid Endarterectomy. |
| المؤلفون: |
Magomedova, Giurikhan, Mamedova, Nargiz, Ye Hao Ran, Beydullaeva, Turana, Ananeva, Mariia Vladimirovna |
| المصدر: |
E Journal of Cardiovascular Medicine; 2023 Supplement, Vol. 11, p1-1, 1p |
| مصطلحات موضوعية: |
ENDARTERECTOMY, CRANIAL nerves, SURGICAL complications, SURGICAL site, COSMETICS |
| مستخلص: |
Aim: To identify advantages and disadvantages of different accesses to the carotid arteries (classical, longitudinal and transverse mini-incisions). Material and Methods: 58 patients underwent eversion carotid endarterectomy. The patients were divided into two groups based on the type of surgical accesses used. Group 1 (n = 37) included patients who underwent surgeries performed through small incisions (less than 5 cm), and was divided into the subgroup A - transverse mini skin incision along the natural skin wrinkle (n = 17), and the subgroup B - longitudinal mini skin incision (n = 20). Group 2 (n = 21) included patients who underwent surgeries using generally accepted longitudinal access. The observation periods were 1 month and 1 year. Criteria: mortality, stroke, TIA, cranial nerve (CN) neuropathies. Cosmetic outcomes were evaluated using the POSAS (Patient and Observer Scar Assessment Scale, Draaijers, 2004). Results: After 1 month mortality, stroke and TIA were not observed. CN neuropathies - 1A gr: 0; 1B gr: 2 (10%); 2 gr: 6 (28.5%). Cosmetic effect - 1A gr: 48.4 ± 9.5 points (the sum of the assessment by the patient and the doctor); 1B gr: 52.4 ± 9.2; 2 gr: 63.1 ± 11.1. After 12 months: mortality - 1A gr: 0; 1B gr: 0; 2 gr: 2 (AMI). Stroke - 1A gr: 0; 1B gr: 0; 2 gr: 1. CNN - 1A gr: 0; 1B gr: 0; 2 gr: 4 (21%). Cosmetic effect - 1A gr: 37.2 points; 1B gr: 40.0; 2 gr: 55.1. QOL, physical component: 1A gr: 51.63 ± 6.31 points; 1B gr: 46.01 ± 7.53; 2 gr: 38.85 ± 5.33; psychological component: 1A gr: 49.64 ± 6.72 points; 1B gr: 45.68 ± + 5.63; 2 gr: 48.6 ± 7.36. Conclusion: Transverse mini invasive access to the carotid arteries is a safe alternative to the classical longitudinal incision and can reduce the risk of postoperative complications with a significant cosmetic effect. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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