Comparative Study between Surgical Repair of Atrial Septal Defect via Median Sternotomy, Right Submammary Thoracotomy, and Right Vertical Infra-Axillary Thoracotomy

Autor: Qiang Chen, Liang-Wan Chen, Ling-Li Yu, Zhong-yao Huang, Zeng-Rong Luo
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system
Blood transfusion
surgical wound
medicine.medical_treatment
Surgical Wound
lcsh:Surgery
030204 cardiovascular system & hematology
respiration
artificial
Heart Septal Defects
Atrial
law.invention
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
law
medicine
Cardiopulmonary bypass
postoperative complications
Humans
Thoracotomy
Retrospective Studies
sternotomy
Mechanical ventilation
Surgical repair
Cardiopulmonary Bypass
business.industry
General Medicine
Perioperative
lcsh:RD1-811
Intensive care unit
heart septal defects
atrial
Sternotomy
Respiration
Artificial
Surgery
Treatment Outcome
Median sternotomy
lcsh:RC666-701
Child
Preschool
Original Article
Female
Cardiology and Cardiovascular Medicine
business
cardiopulmonary bypass
Zdroj: Brazilian Journal of Cardiovascular Surgery, Volume: 35, Issue: 3, Pages: 285-290, Published: 13 JAN 2020
Brazilian Journal of Cardiovascular Surgery, Vol 35, Iss 3, Pp 285-290
Brazilian Journal of Cardiovascular Surgery, Issue: ahead, Published: 13 JAN 2020
Brazilian Journal of Cardiovascular Surgery
Brazilian Journal of Cardiovascular Surgery v.35 n.3 2020
Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron:SBCCV
Popis: Objective: To compare the results of surgical repair via median sternotomy, right submammary thoracotomy, and right vertical infra-axillary thoracotomy for atrial septal defect (ASD). Methods: This is a retrospective analysis of the relative perioperative and postoperative data of 136 patients who underwent surgical repair for ASD with the abovementioned three different treatments in our hospital from June 2014 to December 2017. Results: The results of the surgeries were all satisfactory in the three groups. No statistically significant difference was found in operative time, duration of cardiopulmonary bypass, blood transfusion amount, postoperative mechanical ventilation time, duration of intensive care unit, length of hospital stay, and hospital costs. However, the median sternotomy group had the longest incision. Meanwhile, there was no significant difference in postoperative complications. Conclusion: All three types of surgical incisions can be safely and effectively used to repair ASD. The treatments via right submammary thoracotomy and right vertical infra-axillary thoracotomy have advantages over the treatment via median sternotomy in cosmetic results and should be the recommended options.
Databáze: OpenAIRE
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