Document Detail

Reversed C sternotomy versus conventional sternotomy in cardiac surgery.
MedLine Citation:
PMID:  23344768     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: In this study, cardiac surgery with minimally invasive reversed C sternotomy was compared with conventional sternotomy in patients undergoing valve replacement or septal defect repair.
METHODS: In this prospective randomized study, 35 patients were assigned into one of two groups for elective cardiac surgery under general anesthesia: Group A (reversed C sternotomy group) and Group B (conventional sternotomy group). Intraoperative variables, intubation time, postoperative drainage volume, pulmonary function tests, sleep quality and quality of life, and requirement for blood transfusion were compared.
RESULTS: A significant difference between the two groups was found in blood transfusion requirement, extubation time, and drainage volume. Forced expiratory volume in one second and functional vital capacity were significantly lower in Group B than in Group A at postoperative Month 1. Total sleep component score of Pittsburg Sleep Quality Index in Group B patients was significantly worse at postoperative Month 1. Postoperative assessment of quality of life (physical and mental) also showed a significant difference between the two groups.
CONCLUSION: These preliminary findings suggest that creating an access point without compromising the integrity of the sternum seems to be an advantageous and appropriate technique for suitable patients undergoing cardiac surgery.
Veysel Temizkan; Gokhan Arslan; Murat Ugur; Ibrahim Alp; Erturk Yedekci; Alper Ucak; Dilaver Tas; Ahmet Turan Yilmaz
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2013-01-23
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  61     ISSN:  1439-1902     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-04-08     Completed Date:  2013-10-17     Revised Date:  2013-12-09    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  209-14     Citation Subset:  IM    
Copyright Information:
Georg Thieme Verlag KG Stuttgart · New York.
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MeSH Terms
Cardiac Surgical Procedures / methods*
Follow-Up Studies
Heart Diseases / surgery*
Postoperative Complications
Prospective Studies
Sternotomy / methods*
Sternum / radiography,  surgery*
Surgical Procedures, Minimally Invasive*
Tomography, X-Ray Computed
Treatment Outcome
Young Adult

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

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