01 November 1999
Limited skin incision midline sternotomy - a step towards minimally invasive pediatric congenital heart defects repairIreneusz Haponiuk, Janusz Skalski, Marian Zembala, Zbigniew Religa
Med Sci Monit 1999; 5(6): CS1216-1220 :: ID: 503174
Minimally invasive congenital cardiac surgery continues to evolve and remains challenged by the technical advance in catheter devices developed to percutaneously treat heart defects without cardiopulmonary bypass surgery. Public pressure towards 'incisionless' operations must be balanced with the collective safety of the surgical procedures. Twenty pediatric patients underwent corrective surgery due to congenital heart septal defects by means of limited skin incision midline sternotomy, between October 1997 and July 1998. Early results were quite encouraging. The shortest skin scar amounted to 5.5 cm. Modification of the midline sternotomy technique continues to evolve with advantages including excellent cosmetic results, similarity with the classical mediastinal access and an easy switch to wide sternotomy in emergency cases. This cosmetic alternative to the renewed submammary and thoracotomy approaches seems to be potentially effective in all age groups. The widespread use of limited skin incision midline sternotomy in all cardiac surgery should be a subject of future investigations.
Keywords: minimally invasive cardiac surgery, cardiac surgery, congenital heart defects
01 July 2022 : EditorialEditorial: World Health Organization (WHO) Variants of Concern Lineages Under Monitoring (VOC-LUM) in Response to the Global Spread of Lineages and Sublineages of Omicron, or B.1.1.529, SARS-CoV-2
Med Sci Monit 2022; 28:e937676
27 June 2022 : Clinical ResearchShoulder Injury Related to Vaccine Administration (SIRVA) in 16 Patients Following COVID-19 Vaccination Who...
Med Sci Monit In Press; DOI: 10.12659/MSM.937430
04 June 2022 : Clinical ResearchScreening for SARS-CoV-2 Infection in Students at the Medical University of Warsaw, Poland Between November...
Med Sci Monit 2022; 28:e936962
30 May 2022 : Clinical ResearchEffects of Wearing Face Masks on Exercise Capacity and Ventilatory Anaerobic Threshold in Healthy Subjects ...
Med Sci Monit 2022; 28:e936069
01 Jul 2022 : Clinical ResearchDoes Early-Period Patient Dissatisfaction Turn Into Satisfaction Over Time After Total Knee Replacement?
Med Sci Monit In Press; DOI: 10.12659/MSM.936792
30 Jun 2022 : Laboratory ResearchBcl-2 19-kDa Interacting Protein 3 (BNIP3)-Mediated Mitophagy Attenuates Intermittent Hypoxia-Induced Human...
Med Sci Monit In Press; DOI: 10.12659/MSM.936760
30 Jun 2022 : Clinical ResearchAntioxidant System and Ions Concentrations After Femoral Neck and Resurfacing Hip Arthroplasty
Med Sci Monit In Press; DOI: 10.12659/MSM.936335
Most Viewed Current Articles
30 Dec 2021 : Clinical ResearchRetrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...
Med Sci Monit 2021; 27:e935379
08 Mar 2022 : Review articleA Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...
Med Sci Monit 2022; 28:e936292
01 Nov 2020 : Review articleLong-Term Respiratory and Neurological Sequelae of COVID-19
Med Sci Monit 2020; 26:e928996