Minimal sternotomy surgery in comparison to standard sternotomy in the coronary bypass surgery
المؤلفون المشاركون
al-Tai, Jabbar J.
Mahmud, Bassam ِA.
المصدر
al-Kindy College Medical Journal
العدد
المجلد 15، العدد 1 (30 يونيو/حزيران 2019)، ص ص. 75-78، 4ص.
الناشر
تاريخ النشر
2019-06-30
دولة النشر
العراق
عدد الصفحات
4
التخصصات الرئيسية
الموضوعات
الملخص EN
Background Median sternotomy is the gold standard incision for most cardiac operations.
However, with the advent of minimal invasive surgery, a new approach emerged in cardiac surgery named mini-sternotomy and has been successfully used to perform a variety of operations.
The aim of this paper is to present our experience of using mini-sternotomy to harvest the left internal mammary artery (LIMA) for offpump revascularization of the left anterior descending artery (LAD) Methodology Over a 2-year period (October 2012-October 2014), 100 patients underwent coronary artery bypass grafting (CABG) via conventional median sternotomy (CMS) (n=80) and mini-sternotomy (MS) (n=20).
The 2 groups were compared regarding length and difficulty of surgery, postoperative pain and respiratory function, stay in the intensive care unit (ICU), wound infection, shoulder stability and other variables.
Results One patient (5%) with LMS was converted into CMS due to inadequate exposure.
The blood loss was less in LMS patients.
Lung telectasis and pleural effusions were less in group 2.
A higher PaO2, lower PaCO2 and a shorter assisted-ventilation time were observed in LMS group.
Early postoperative pain score & analgesic requirements were less in LMS patients and their hospital stay was shorter (4-5 days) than CMS.
Moreover, LMS patients could return to their jobs and drove cars earlier than group 2 patients.
There were 9 deaths (11.3%) in CMS group vs.
one death (5%) in LMS group; however, this difference was not statistically significant (p˂0.05) Conclusions This study shows that off-pump coronary surgery through mini-sternotomy incision is feasible and safe
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Tai, Jabbar J.& Mahmud, Bassam ِA.. 2019. Minimal sternotomy surgery in comparison to standard sternotomy in the coronary bypass surgery. al-Kindy College Medical Journal،Vol. 15, no. 1, pp.75-78.
https://search.emarefa.net/detail/BIM-893605
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Tai, Jabbar J.& Mahmud, Bassam ِA.. Minimal sternotomy surgery in comparison to standard sternotomy in the coronary bypass surgery. al-Kindy College Medical Journal Vol. 15, no. 1 (2019), pp.75-78.
https://search.emarefa.net/detail/BIM-893605
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Tai, Jabbar J.& Mahmud, Bassam ِA.. Minimal sternotomy surgery in comparison to standard sternotomy in the coronary bypass surgery. al-Kindy College Medical Journal. 2019. Vol. 15, no. 1, pp.75-78.
https://search.emarefa.net/detail/BIM-893605
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 78
رقم السجل
BIM-893605
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر