Minimal sternotomy surgery in comparison to standard sternotomy in the coronary bypass surgery
Joint Authors
al-Tai, Jabbar J.
Mahmud, Bassam ِA.
Source
al-Kindy College Medical Journal
Issue
Vol. 15, Issue 1 (30 Jun. 2019), pp.75-78, 4 p.
Publisher
University of Baghdad al-Kindi College of Medicine
Publication Date
2019-06-30
Country of Publication
Iraq
No. of Pages
4
Main Subjects
Topics
Abstract 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
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 78
Record ID
BIM-893605