| Abstrakt: |
Introduction: Numerous factors, including improved patient outcomes and satisfaction, a decline in surgical trauma, and the development of specialized equipment that makes these procedures safe to perform, have contributed to this. Aims: to investigate and evaluate, using a variety of perioperative and post-operative metrics and their results, the benefits and drawbacks of Minimally Invasive Mitral Valve Surgery (MIMVS) versus traditional mitral valve surgery via sternotomy. Materials and method: From March 2020 to November 2021, a prospective, non-randomized study was carried out at the Cardiothoracic OT and Post Cardiac Surgery Recovery Unit, I.P.G.M.E & R, and SSKM Hospital, a tertiary care hospital and teaching institution affiliated with a university. Patients undergoing general anesthesia for Mitral Valve (MV) replacement, patients undergoing right thoracotomy for Minimally Invasive Mitral Valve Surgery (MIMVS), and patients undergoing traditional sternotomy for Mitral Valve surgery comprised the control group. Result: In MICS surgery, 7 (23.3%) patients had 1 PRBC and 10 (33.3%) patients had 2 PRBC in Transfusion requirement. In Sternotomy surgery, 9 (30.0%) patients had 1 PRBC, 14 (46.7%) patients had 2 PRBC and 2 (6.7%) patients had 3 PRBC in Transfusion requirement. Association of Transfusion requirement with Type of surgery was not statistically significant (p=0.0908). Conclusion: We came to the statistically significant conclusion that most patients undergoing minimally invasive cardiac surgery were between the ages of 31 and 50, while most patients undergoing sternotomy were between the ages of 41 and 60. There was a statistically significant difference in the mean age of patients undergoing sternotomy surgery (51.2333 years) and those undergoing minimally invasive cardiac surgery (39.2000 years). Male population was higher in our study than female population. We found that, although not statistically significant, RHD with severe multiple sclerosis was more common in both minimally invasive cardiac surgery and conventional sternotomy, depending on the primary disease. [ABSTRACT FROM AUTHOR] |
