https://scholars.lib.ntu.edu.tw/handle/123456789/475677
標題: | A minimal transverse incision with low median sternotomy for pediatric congenital heart surgery | 作者: | CHIH-YANG CHAN ING-SH CHIU Wu S.-J. Hung C.-R. |
公開日期: | 2001 | 卷: | 19 | 期: | 3 | 起(迄)頁: | 290-293 | 來源出版物: | European Journal of Cardio-thoracic Surgery | 摘要: | Objectives: Median sternotomy is the incision of choice for most cardiac surgical procedures, but the full-length vertical skin incision generally leaves an unsightly scar. In certain patients undergoing short, low-risk procedures, cosmetic considerations are of relatively greater importance. Methods: A minimal transverse curvilinear skin incision with low median sternotomy is described which gives adequate exposure for selected open-heart procedures. Since September 1997, this approach has been used in 22 pediatric patients undergoing open-heart surgery including five cases of Fallot's tetralogy. We also compared the operation time and result with other approaches. Results: Using this modified method, the exposure of the heart was good enough, and there were no difficulties in cannulating the ascending aorta for cardiopulmonary bypass. Although it took a longer time to close the wound, the operation time was similar to the standard approach. The small transverse wound was not visible under conventional clothes. Conclusions: A minimal transverse incision with low median sternotomy provides an alternative approach for small wound open-heart surgery in patients with a simple congenital cardiac defect. It is technically feasible and has a good cosmetic result. Copyright ? 2001 Elsevier Science B.V. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0035091905&doi=10.1016%2fS1010-7940%2801%2900579-6&partnerID=40&md5=4ae58e9f1462f7f173fb5897334127de https://scholars.lib.ntu.edu.tw/handle/123456789/475677 |
ISSN: | 1010-7940 | DOI: | 10.1016/S1010-7940(01)00579-6 | SDG/關鍵字: | adolescent; article; ascending aorta; cannulation; cardiopulmonary bypass; child; clinical article; congenital heart disease; controlled study; esthetic surgery; Fallot tetralogy; female; human; incision; infant; male; open heart surgery; operation duration; priority journal; scar; skin incision; sternotomy; surgical technique; Adolescent; Analysis of Variance; Cardiac Surgical Procedures; Child; Child, Preschool; Female; Follow-Up Studies; Heart Defects, Congenital; Humans; Infant; Length of Stay; Sensitivity and Specificity; Sternum; Surgical Procedures, Minimally Invasive; Thoracotomy; Time Factors; Treatment Outcome |
顯示於: | 醫學系 |
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