Document Detail


After omental flap transposition, respiratory function and exercise capacity decrease.
MedLine Citation:
PMID:  20190703     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the effect of respiratory function and exercise capacity after omental flap transposition. METHODS: From October 2005 to December 2006, we classified mediastinitis patients treated with omental flap transposition (OT group; n = 10) and patients who underwent only cardiovascular surgery without developing complications (control group; n = 25). Percent vital capacity (%VC) was evaluated from the day of returning to the general ward for 5 consecutive days and on 14 days. The day of a 200 m walk was investigated, and the cardiopulmonary exercise test was conducted after discharge. Load and oxygen consumption (VO) at anaerobic threshold (i.e., AT load and AT VO), peak load, and peak VO were measured. RESULTS: %VC significantly decreased in the OT group compared with the control group (P <0.05). An interaction effect between the 2 groups on the change in %VC was observed (F = 2.71, P <0.05). Three patients failed to accomplish a 200 m walk in the ward after omental flap transposition. AT VO and peak VO were significantly lower (P <0.05 and P <0.01, respectively) in the OT group than in the control group. CONCLUSION: After omental flap transposition, %VC and VO decreased.
Authors:
Nobuo Morotomi; Masakazu Saitoh; Shuichiro Takanashi; Masatoshi Nagayama; Masazumi Mizuma
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  16     ISSN:  1341-1098     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-03-01     Completed Date:  2010-05-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  9-15     Citation Subset:  IM    
Affiliation:
Sakakibara Heart Institute and Department of Rehabilitation Medicine, Showa University Hospital, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Anaerobic Threshold
Cardiac Surgical Procedures / adverse effects*
Case-Control Studies
Chi-Square Distribution
Exercise Test
Exercise Tolerance*
Female
Humans
Lung / physiopathology*
Male
Mediastinitis / etiology,  physiopathology,  surgery*
Middle Aged
Omentum / surgery*
Oxygen Consumption
Pain Measurement
Pain, Postoperative / etiology
Surgical Flaps / adverse effects*
Time Factors
Treatment Outcome
Vital Capacity
Walking

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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