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Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects

BACKGROUND: Right submammary thoracotomy and right vertical infra-axillary thoracotomy are performed for ventricular septal defect (VSD) to reduce the invasiveness of the conventional surgical repair through median sternotomy approach. No comparative studies have been conducted among these three pro...

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Autores principales: Hong, Zhi-Nuan, Chen, Qiang, Lin, Ze-Wei, Zhang, Gui-Can, Chen, Liang-Wan, Zhang, Qi-Liang, Cao, Hua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5963097/
https://www.ncbi.nlm.nih.gov/pubmed/29783998
http://dx.doi.org/10.1186/s13019-018-0734-5
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author Hong, Zhi-Nuan
Chen, Qiang
Lin, Ze-Wei
Zhang, Gui-Can
Chen, Liang-Wan
Zhang, Qi-Liang
Cao, Hua
author_facet Hong, Zhi-Nuan
Chen, Qiang
Lin, Ze-Wei
Zhang, Gui-Can
Chen, Liang-Wan
Zhang, Qi-Liang
Cao, Hua
author_sort Hong, Zhi-Nuan
collection PubMed
description BACKGROUND: Right submammary thoracotomy and right vertical infra-axillary thoracotomy are performed for ventricular septal defect (VSD) to reduce the invasiveness of the conventional surgical repair through median sternotomy approach. No comparative studies have been conducted among these three procedures. METHODS: From January 2016 to December 2016, 182 patients with isolated VSD who underwent surgical repair via one of these 3 approaches were reviewed to compare these three procedures. RESULTS: The procedure success rates were similar in these three groups. There was no statistically significant difference in operative time, aortic cross-clamping time, the duration of CPB, blood transfusion amount and medical cost. However, postoperative mechanical ventilation time, the duration of intensive care and postoperative length of hospital stay were longer in median sternotomy group than the other two groups. (P < 0.05) The median sternotomy group required the longest incision. No significant difference was noted in major adverse events. There were different advantages and disadvantages in the three kinds of operative procedures. CONCLUSIONS: Regarding conventional surgical repair VSD, right submammary thoracotomy and right vertical infra-axillary thoracotomy both delivered better cosmetic results for patients with isolated VSD, while all the three procedures could obtain satisfactory clinical effect.
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spelling pubmed-59630972018-06-25 Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects Hong, Zhi-Nuan Chen, Qiang Lin, Ze-Wei Zhang, Gui-Can Chen, Liang-Wan Zhang, Qi-Liang Cao, Hua J Cardiothorac Surg Research Article BACKGROUND: Right submammary thoracotomy and right vertical infra-axillary thoracotomy are performed for ventricular septal defect (VSD) to reduce the invasiveness of the conventional surgical repair through median sternotomy approach. No comparative studies have been conducted among these three procedures. METHODS: From January 2016 to December 2016, 182 patients with isolated VSD who underwent surgical repair via one of these 3 approaches were reviewed to compare these three procedures. RESULTS: The procedure success rates were similar in these three groups. There was no statistically significant difference in operative time, aortic cross-clamping time, the duration of CPB, blood transfusion amount and medical cost. However, postoperative mechanical ventilation time, the duration of intensive care and postoperative length of hospital stay were longer in median sternotomy group than the other two groups. (P < 0.05) The median sternotomy group required the longest incision. No significant difference was noted in major adverse events. There were different advantages and disadvantages in the three kinds of operative procedures. CONCLUSIONS: Regarding conventional surgical repair VSD, right submammary thoracotomy and right vertical infra-axillary thoracotomy both delivered better cosmetic results for patients with isolated VSD, while all the three procedures could obtain satisfactory clinical effect. BioMed Central 2018-05-21 /pmc/articles/PMC5963097/ /pubmed/29783998 http://dx.doi.org/10.1186/s13019-018-0734-5 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Hong, Zhi-Nuan
Chen, Qiang
Lin, Ze-Wei
Zhang, Gui-Can
Chen, Liang-Wan
Zhang, Qi-Liang
Cao, Hua
Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects
title Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects
title_full Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects
title_fullStr Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects
title_full_unstemmed Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects
title_short Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects
title_sort surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5963097/
https://www.ncbi.nlm.nih.gov/pubmed/29783998
http://dx.doi.org/10.1186/s13019-018-0734-5
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