Pain and quality of life after minimally invasive versus conventional cardiac surgery

Walther, Thomas; Falk, Volkmar; Metz, Sebastian; Diegeler, Anno; Battellini, Roberto; Autschbach, Rüdiger; Mohr, Friedrich W.

doi:10.1016/s0003-4975(99)00284-2

Cited by 231 publications

(167 citation statements)

References 7 publications

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“…Less post-operative pain and a faster return to normal activity in ALMT are the most obvious advantages over MS. All three studies that measured post-operative pain levels reported less pain in ALMT compared with MS (Walther et al, 1999;Felger et al, 2001;Speziale et al, 2011). Speziale et al (2011), the only randomized trial in our study, reported pain scores during the first 6 d after the operation.…”

Section: Length Of Hospital Stay Post-operative Pain and Costsmentioning

confidence: 58%

“…Murtuza et al (2008) found that 282 of 308 patients (91.5%) were satisfied with the cosmetic result of ALMT. Three studies found that ALMT resulted in less pain and a higher quality of life in patients with mitral valve disease after operation (Walther et al, 1999;Felger Iribarne et al (2010) New York 91.9 (at 4 years) 91.9 (at 4 years) 0.569 Holzhey et al (2011) Leipzig 66±5.6 (at 5 years) 56±5.5 (at 5 years) 0.43 Speziale et al (2011) Bari 67 (at 2 years) 69 (at 2 years) 0.86 66 (at 2 years) 67 (at 2 years) 0.74 Reser et al (2012) Zürich 100 (at 1.8 years) 97.8 (at 1.8 years)…”

Section: Discussionmentioning

confidence: 99%

“…In Felger et al (2001), 11 re-operative patients who had a prior sternotomy for cardiac surgery reported less pain from ALMT and returned to regular activity more rapidly. Walther et al (1999) revealed that patients undergoing ALMT had lower pain levels from the 3rd post-operative day onward.…”

Section: Arrhythmiasmentioning

confidence: 98%

“…In the late 1990s, a new procedure termed 'minimally invasive mitral valve surgery' (MIMVS) was being suggested (Cosgrove III et al, 1998;Gundry et al, 1998;Byrne et al, 2000;Gillinov et al, 2000). This procedure can minimize surgical trauma, resulting in reduced operative mortality, less pain, improved quality of life, and better cosmetic results by reducing the size of the incision, particularly for young females and older people (Walther et al, 1999;Soltesz and Cohn, 2007). MIMVS involves partial sternotomy, hemi-sternotomy, anterolateral minithoracotomy (ALMT), and total endoscopic approaches.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis

Ding

Jiang

Tao

et al. 2014

J. Zhejiang Univ. Sci. B

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Abstract:Objective: Mitral valve disease tends to be treated with anterolateral minithoracotomy (ALMT) rather than median sternotomy (MS), as ALMT uses progressively smaller incisions to promote better cosmetic outcomes. This meta-analysis quantifies the effects of ALMT on surgical parameters and post-operative outcomes compared with MS. Methods: One randomized controlled study and four case-control studies, published in English from January 1996 to January 2013, were identified and evaluated. Results: ALMT showed a significantly longer cardiopulmonary bypass time (P=0.001) and aortic cross-clamp time (P=0.05) compared with MS. However, the benefits of ALMT were evident as demonstrated by a shorter length of hospital stay (P<0.00001). According to operative complications, the onset of new arrhythmias following ALMT decreased significantly as compared with MS (P=0.05); however, the incidence of peri-operative mortality (P=0.62), re-operation for bleeding (P=0.37), neurologic events (P=0.77), myocardial infarction (P=0.84), gastrointestinal complications (P=0.89), and renal insufficiency (P=0.67) were similar to these of MS. Long-term follow-up data were also examined, and revealed equivalent survival and freedom from mitral valve events. Conclusions: Current clinical data suggest that ALMT is a safe and effective alternative to the conventional approach and is associated with better short-term outcomes and a trend towards longer survival.

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Section: Length Of Hospital Stay Post-operative Pain and Costsmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Arrhythmiasmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis

Ding

Jiang

Tao

et al. 2014

J. Zhejiang Univ. Sci. B

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“…The objectives are better patient recovery with less pain and postoperative complications, resulting in less hospital stay and cost reduction [15][16]. Another point is the aesthetic appearance and patient satisfaction due to reduced surgical trauma (scar) (Figure 3) [17,18]. With the advent of videothoracoscopy, there was the possibility of ever smaller incisions or absence of them [19].…”

Section: Discussionmentioning

confidence: 99%

Cirurgia cardíaca videoassistida: resultados de um projeto pioneiro no Brasil

Poffo¹,

Pope²,

Selbach³

et al. 2009

Rev Bras Cir Cardiovasc

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Results: The surgical procedures were: plasty (n=20) or mitral valve replacement (n=36), aortic valve replacement (n=14), atrioseptoplasty using pericardial patch (n=32), tricuspid valve repair with rigid ring (n=6) and surgical correction of atrial fibrillation with radiofrequency (n=12). There were no complications during the procedures. There was no conversion to thoracotomy in neither case. Two patients developed atrial fibrillation in the postoperative period. There was an episode of stroke seven days after the hospital discharge and one death (0,9%) due to systemic inflammatory response syndrome (SIRS).Conclusion: This study demonstrates the coverage of pathologies that are possible to be approached by videoassisted cardiac surgery with cardiopulmonary bypass being a safe and effective procedure with low morbimortality. Minimally invasive video-assisted cardiac surgery is already a reality in Brazil, demonstrating excellent aesthetic and functional results. Rev Bras Cir Cardiovasc 2009; 24(3): 318-326 and transesophageal echocardiogram, ultrasound of the carotid arteries, abdominal, iliac and femoral arteries. In patients with suspicion of some obstruction of peripheral arteries, angiotomography of the thoracoabdominal aorta was requested. Special care was taken at the time of cardiac catheterization, avoiding puncturing the femoral vessels, giving preference to puncture of the radial artery and complete aortography was performed during the exam. After the first 40 cases, we included patients with an ejection fraction below 55%, emergencies, reoperations and obese patients.The age ranged from 18 to 68 years, and 57 patients were female (55.8%).

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Health Status Benefits of Transcatheter vs Surgical Aortic Valve Replacement in Patients With Severe Aortic Stenosis at Intermediate Surgical Risk

et al. 2017

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Pain and quality of life after minimally invasive versus conventional cardiac surgery

Cited by 231 publications

References 7 publications

Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis

Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis

Cirurgia cardíaca videoassistida: resultados de um projeto pioneiro no Brasil

Health Status Benefits of Transcatheter vs Surgical Aortic Valve Replacement in Patients With Severe Aortic Stenosis at Intermediate Surgical Risk

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