Early outcome of mini aortic valve replacement surgery

Comparison of the Effects of Full Median Sternotomy vs. Mini-Incision on Postoperative Pain in Cardiac Surgery: A Meta-Analysis

“…We verified higher levels of pain through FS in AVR when we used the first observation pain measurement method. This divergence with the other authors may have occurred due to the inclusion of a more recent RCT [ 8 ] , which was the study that found the largest difference in favor of MICS. However, in the sensitivity analysis using the mean of the means and the square root of the mean of variances, divided by the number of measurements, which provided a more global estimate of the effect, we did not find a statistically significant difference between the groups, keeping the difference in pain closer to the results of the other studies that evaluated FS vs. MICS in AVR.…”

“…Considering AVR, we found a difference in the general estimation of the effect of postoperative pain in RCTs [ 8 - 12 ] , favoring MICS (SMD 0.87 [95% CI 0.04 to 1.71], P =0.04) ( Figure 2 ). However, in the sensitivity analysis, using the mean of the means and the square root of the mean of variances divided by the number of measurements, there was no difference between the groups (SMD 0.70 [95% CI -0.69 to 2.09], P =0.32) ( Figure 3 ).…”