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Research Article

JCDR. 2021; 12(3): 2612-2617


POSTOPERATIVE CHEST PAIN AND COSMETIC OUTCOMES IN MINI-STERNOTOMY VERSUS STANDARD STERNOTOMY IN AORTIC VALVE REPLACEMENT

Essam Saad Abdelwahed, Ahmed Mohamed Amin Barky, Ahmed Elwan Mohamedand Ahmed Alhammali Amir Abdulsalam.


Abstract

Background: For decades, the traditional median sternotomy has been the treatment of choice in aortic valve surgery; however, numerous researchers have worked to develop less invasive procedures, and the partial upper mini-sternotomy is the most prevalent minimally invasive procedure.
Objective: To compare outcomes, in patients who undergo mini-sternotomy, and patients who undergo standard sternotomy, in aortic valve replacement operations.
Patients and Methods: This Randomized controlled clinical trial study included A fifty patients who were admitted to the Zagazig University hospital, Cardiothoracic surgery department In the period between January 2021 to August 2021, Patients were split into two groups, each with 25 patients: Group "A" had aortic valve surgery by mini-sternotomy, while Group "B" got aortic valve surgery via open surgery. Aortic valve surgery was performed via a conventional median sternotomy in Group "B." An ECG was performed to see whether there was any ischemia present, as well as laboratory tests and a chest x-ray.
Results: At all periods, VAS was substantially higher in the complete sternotomy group. Wound length was significantly shorter in mini-sternotomy group than in full sternotomy group, however: regarding post operative NYHA there were significant improvement in both groups but better improvement in Mini group.
Conclusions: MIAVR is a safe and effective procedure and is performed with comparable morbidity to conventional AVR. MIAVR results in substantially improved postoperative respiratory functioning, post operative chest pain, and cosmetic results.

Key words: Mini Sternotomy, Full Sternotomy, Aortic Valve Replacement






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