Comparing clinical course and patients out comes in patients undergoing Open surgical Versus Thoracoscopic closure of the atrial and ventricular septal defects in children

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL

Bangladesh Journal of Medical Science Pub Date : 2024-01-01 DOI:10.3329/bjms.v23i1.70696

Ikromzhon Mukhamedov, Zengshan Ma, S. Joshibayev

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Abstract

The current study is aimed at evaluation of the impact of different surgical approaches while correcting congenital heart diseases (CHD). Clinical outcomes like; operative time, complications, hospital stay were evaluated in children undergoing surgical repair of atrial septal defect (ASD) and ventricular septal defect (VSD). Patients and methods: Between 2015 and 2019, a total of 111 patients surgically managed for CHD with male: female ratio of…. and mean age 10.42±3.24 years. Two surgical approaches: open either right anterolateral thoracotomy or sternotomy and thoracoscopic were used. The study conducted to determine the operative time, ICU stay, complications, recovery period and long term follow up of the patients in both the groups. Results: 67 patients with ASD and 44 patients with VSD underwent cardiac surgery. Mean operation time was significantly longer in TS patients in comparison with TT and ST groups. However, mean intensive care unit (ICU) stay and hospital stay were significantly shorter in TS group in comparison with TT and ST patients. Conclusion: TS approach in repair of congenital heart defects not only resulted of good cosmetic effect, but also reduces time in ICU and hospital stay in comparison with “classical” operational techniques. In this article we tried to show the whole results of research. Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 115-120

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比较儿童心房和室间隔缺损开放手术与胸腔镜闭合术的临床过程和患者出院情况

本研究旨在评估矫正先天性心脏病（CHD）时不同手术方法的影响。研究评估了接受房间隔缺损（ASD）和室间隔缺损（VSD）手术修复的儿童的手术时间、并发症、住院时间等临床结果。患者和方法：2015年至2019年期间，共有111名患者接受了CHD手术治疗，男女比例为....，平均年龄为（10.42±3.24）岁。采用两种手术方式：右胸前外侧开胸术或胸骨切开术和胸腔镜手术。研究旨在确定两组患者的手术时间、重症监护室住院时间、并发症、恢复期和长期随访情况。结果67 名 ASD 患者和 44 名 VSD 患者接受了心脏手术。与 TT 组和 ST 组相比，TS 组患者的平均手术时间明显更长。不过，与 TT 组和 ST 组患者相比，TS 组患者的平均重症监护室（ICU）停留时间和住院时间明显较短。结论与 "传统 "手术技术相比，TS 法修复先天性心脏缺损不仅具有良好的外观效果，还能缩短重症监护室和住院时间。在本文中，我们试图展示研究的全部成果。孟加拉医学杂志》第 23 卷第 01 期 24 年 1 月第 115-120 页

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