Minimal access in cardiac surgery

Abstract

Over the past two decades, minimally invasive cardiac surgery has been adopted with the use of endoscopic methods in 1990s and advanced robotic surgery since the early 2000s. In parallel with technological developments, surgical experience has increased and several cardiac operations are able to be performed using different mini-incisions. In this review, we discuss approaches to minimally invasive cardiac surgery, incisions, technical details, and suggestions.

Comment on "The novel diagonal suprascapular canal block for shoulder surgery analgesia: a comprehensive technical report"

“…First, providing the SSN block at the midpoint between the suprascapular and spinoglenoid notches to selectively target the lateral trunk of the SSN might be a better option for patients with chronic pain, as suggested previously by Tran et al [2]. However, applying the same technique for "shoulder surgery analgesia, " as per the title of this technical report [1], might not be adequate because the medial trunk of the SSN, which provides sensory coverage predominantly to the anterior region of the shoulder [3], also contributes to pain in surgical procedures. Furthermore, a previous cadaveric study found anatomical variations such that the "posterior region received innervation from the proximal branch of the medial trunk in half of the specimens" [3].…”

“…Dear Editor, I read with keen interest a technical report published recently in the Korean Journal of Anesthesiology describing the "diagonal suprascapular canal (DiSC)" approach for the suprascapular nerve (SSN) block [1] and wish to present my reflections.…”

Theoretical and Practical Aspects in the Use of Bretschneider Cardioplegia

“…In group A, the mean ejection fraction after the valvular replacement was higher compared to group B (53.17 ± 7.73 compared with 49.06 ± 7.170) [ 89 ]. Other recent surveys did not find statistical differences in myocardial damage (Troponin-I, CK-MB) comparing the cardioplegic solution in question to others that were renowned [ 90 , 91 , 92 , 93 ].…”

Clinical Use of Tailored Computed Tomography to Prevent Poststernotomy Dehiscence

“…When appropriate, use of these techniques will relieve us from the risk of sternal complications with preservation of the sternal stability. 18 Also, İyigün et al showed minimally invasive approach, using the robotic-assisted systems, has greater advantages for the patients in terms of self-esteem and cosmetic results. 19 Better self-esteem and cosmetic results also reduce the anxiety problem of the patients postoperatively.…”