We have located links that may give you full text access.
Anterior thoracotomy wound complications in minimally invasive direct coronary artery bypass.
Annals of Thoracic Surgery 2000 May
BACKGROUND: The minimally invasive anterior thoracotomy for beating heart coronary bypass offers a modest 10-cm incision and avoids the morbidity of extracorporeal circulation. This study examines minimally invasive direct coronary artery bypass (MIDCAB) wound complications and contributing comorbid factors.
METHODS: A retrospective, single-institution review of 165 consecutive MIDCAB cases performed between March 1996 and August 1999 examined all wound abnormalities. Two surgeons performed all cases.
RESULTS: Wound complications occurred in 15 patients (9.1%), including three (1.8%) incisional hernias, four (2.4%) superficial dehiscences, three (1.8%) wound infections, three (1.8%) chronic pain syndromes, and two (1.2%) seromas. Two patients with incisional hernias required operative repair. The remaining wound abnormalities responded to conservative therapy. Two chronic pain syndrome cases resolved spontaneously, but the third required advanced pain management. In contrast to MIDCAB, the sternotomy wound complications proved significantly less prevalent (n = 5259, 1.1% vs 9.1%, p < 0.005).
CONCLUSIONS: Although MIDCAB offers several advantages over standard approaches, these data suggest that anterior thoracotomy wound complications are not insignificant and may be underestimated by those exploring minimally invasive options.
METHODS: A retrospective, single-institution review of 165 consecutive MIDCAB cases performed between March 1996 and August 1999 examined all wound abnormalities. Two surgeons performed all cases.
RESULTS: Wound complications occurred in 15 patients (9.1%), including three (1.8%) incisional hernias, four (2.4%) superficial dehiscences, three (1.8%) wound infections, three (1.8%) chronic pain syndromes, and two (1.2%) seromas. Two patients with incisional hernias required operative repair. The remaining wound abnormalities responded to conservative therapy. Two chronic pain syndrome cases resolved spontaneously, but the third required advanced pain management. In contrast to MIDCAB, the sternotomy wound complications proved significantly less prevalent (n = 5259, 1.1% vs 9.1%, p < 0.005).
CONCLUSIONS: Although MIDCAB offers several advantages over standard approaches, these data suggest that anterior thoracotomy wound complications are not insignificant and may be underestimated by those exploring minimally invasive options.
Full text links
Trending Papers
A Personalized Approach to the Management of Congestion in Acute Heart Failure.Heart International 2023
Potential Mechanisms of the Protective Effects of the Cardiometabolic Drugs Type-2 Sodium-Glucose Transporter Inhibitors and Glucagon-like Peptide-1 Receptor Agonists in Heart Failure.International Journal of Molecular Sciences 2024 Februrary 21
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app