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Subject Area

Pediatrics

Article Type

Original Study

Abstract

Objective The aim of the study was to evaluate this new technique introduced in Egyptian National Heart Institute comparing the postoperative pain, hospital stay, recovery speed, cosmosis, pulmonary function, and hospital mortality and morbidity between minimally invasive mitral valve surgery (MIMVS) and conventional mitral surgery. Background Over the past few years, MIMVS has become the preferred option for the treatment of mitral valve (MV) diseases worldwide. That is mainly due to minimizing surgical trauma and its direct impact on reduced postoperative pain, improved cosmosis, quicker recovery, and earlier return to work. Patients and methods This prospective study was conducted on 50 patients requiring MV surgery classified into two equal groups. Group A (minimally invasive group), who were operated on using a video-assisted right anterolateral minithoracotomy technique. Group B (sternotomy group), who were operated on using a conventional median sternotomy technique. Results There was no operative mortality in both groups but significant difference in incision length, ventilation time, blood drainage, blood transfusion, and ICU stay (P = 0.003, 0.002, 0.004, 0.03, 0.004, respectively). Moreover, the total hospital stay was significantly less in group A (6.04 ± 1.1 vs. 11.2 ± 2.45 days, P = 0.005). Conclusion In patients with MV diseases, MIMVS can be an alternative to conventional MV surgery with comparable short-term mortality, morbidity, and superior results regarding the hospital stay.

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