WOS

Permanent URI for this collectionhttps://hdl.handle.net/11443/932

Browse

Has files: YesSubject: search.filters.subject.minimally invasive

Search Results

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Minimally invasive repair of pectus excavatum (MIRPE) in adults: is it a proper choice?
    (TERMEDIA PUBLISHING HOUSE LTD, 2016-01-01) Ersen, Ezel; Demirkaya, Ahmet; Kilic, Burcu; Kara, Hasan Volkan; Yaksi, Osman; Alizade, Nurlan; Demirhan, Ozkan; Sayilgan, Cem; Turna, Akif; Kaynak, Kamil
    Introduction: The Nuss procedure is suitable for prepubertal and early pubertal patients but can also be used in adult patients. Aim: To determine whether the minimally invasive technique (MIRPE) can also be performed successfully in adults. Material and methods: Between July 2006 and January 2016, 836 patients (744 male, 92 female) underwent correction of pectus excavatum with the MIRPE technique at our institution. The mean age was 16.8 years (2-45 years). There were 236 adult patients (28.2\%) (> 18 years) 20 female, 216 male. The mean age among the adult patients was 23.2 years (18-45 years). The recorded data included length of hospital stay, postoperative complications, number of bars used, duration of the surgical procedure and signs of pneumothorax on the postoperative chest X-ray. Results: The MIRPE was performed in 236 adult patients. The average operative time was 44.4 min (25-90 min). The median postoperative stay was 4.92 +/- 2.81 days (3-21 days) in adults and 4.64 +/- 1.58 (2-13) in younger patients. The difference was not statistically significant (p = 0.637). Two or more bars were used in 36 (15.8\%) adult patients and in 44 (7.5\%) younger patients. The difference was not statistically significant either (p = 0.068). Regarding the overall complications, complication rates among the adult patients and younger patients were 26.2\% and 11.8\% respectively. The difference was statistically significant (p = 0.007). Conclusions: MIRPE is a feasible procedure that produces good long-term results in the treatment of pectus excavatum in adults.
  • Thumbnail Image
    Item
    Toward Routine Minimally Invasive Ventricular Septal Defect Closure Via Right Lateral Minithoracotomy
    (FRONTIERS MEDIA SA, 2021-01-01) Aydin, Selim; Temur, Bahar; Basgoze, Serdar; Guzelmeric, Fusun; Guvenc, Osman; Erek, Ersin
    Background: Improving the surgical results and recent advancement of transcatheter techniques for closure of ventricular septal defect (VSD) increased the demand for minimally invasive approaches. In this study, we analyzed the results of the patients who underwent VSD closure with right lateral minithoracotomy (RLMT). Methods: Between September 2014 and February 2021, 24 patients underwent minimally invasive VSD closure with RLMT. The median age of the patients was 16 months (range, 4-84 months). Fifteen patients (62.5\%) were female. The median weight of the patients was 9.75 kg (range, 4.6-30 kg). The types of VSD were perimembranous in 19 patients, subaortic in three patients, inlet in one patient, and subpulmonic in one patient. Five patients had low-lying pulmonary stenosis in addition to VSD. Results: No perioperative death or major complication occurred during follow-up. All defects were repaired through RLMT. The median cardiopulmonary bypass time was 81 min (range, 44-163 min), and the aortic cross-clamp time was 65 min (range, 33-131 min). The median hospital stay was 6 days (range, 5-21 days). One patient had minimal (2 mm) residual left-to-right shunt. All families were satisfied with the cosmetic results during the follow-up. Conclusions: The RLMT method is a safe and effective alternative to standard median sternotomy for VSD closure and can be performed with favorable cosmetic and clinical results.