Minimally invasive surgery of ventricular septal defect closure: compari-son of vertical infraaxillary minithoracotomy and conventionel median sternotomy

Year 2022, Volume: 15 Issue: 1, 7 - 12, 01.09.2022

Hüseyin Hakan Poyrazoğlu Funda Tor Ocak

Abstract

This study aims to evaluate our results of as a minimally invasive surgery of ventricular septal defect closure with right vertical infraaxillary minithoracotomy and compared with conventional median sternotomy for repair ventricular defect closure.
The study designed as a retrospective between 2007 and 2017, 15 patients underwent ventriculer septal defect closure with right vertical infraaksiller minitorakotomi (Group 1), 15 patients underwent closed ventricular septal defect closure with median sternotomy(Group 2). Group 1 and Group 2 were compared statistically with regard to the age, sex, operation and cross clamp time, cardiopulmonary bypass time, transfused blood, extubation time, intensive care ünit stay time, hospital stay time, incision length. In the comprasion of normal variables between groups, the Chi-square test was used. All tests were mutual and p<0.05 was considered statistically significiant.
No perioperative or late death occured during the follow up in both groups. There was no statistically differences in age, sex, cardiopulmonary bypass time, aortic cross-clamp time. Total operation time was significantly shorter in Group 1 than Group 2(p: 0.004). Three patients in Group 1 extubated in the operating room and four patients in Group 1 was not transfused blood for operation. All patients in Group 1 discharged first 24 hours from intensive care unit to service room. Group 1 had less chest tube drainage first 24 hours (p: 0.003). The mean length of incision was significantly shorter Group 1 than Group 2(p: 0.001).
Additionally excellent cosmetic and psychological results ventricular septal defect closure of right vertical infraaxillary minithoracotomy technique, there are more important clinical results in minimal invasive ventricular septal defects surgery than conventional median sternotomy.

Keywords

Minimally invasive surgery, ventricular septal defect, minithoracotomy, sternotomy, treatment