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Effects of repairing ventricular septal defects with right vertical infra‑axillary mini‑incision on lung function and postoperative analgosedation

  • Authors:
    • Chunxiang Li
    • Xiaolei Gong
    • Jihong Huang
    • Limin Zhu
    • Wei Dong
    • Mingjie Zhang
    • Yujie Liu
    • Zhuoming Xu
  • View Affiliations / Copyright

    Affiliations: Department of Cardiac Intensive Care Unit, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai 200127, P.R. China
    Copyright: © Li et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 302
    |
    Published online on: January 29, 2021
       https://doi.org/10.3892/etm.2021.9733
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Abstract

The present study aimed to assess the effects of repairing ventricular septal defects (VSDs) with right vertical infra‑axillary mini‑incision (RVAI). A total of 116 patients with VSDs were prospectively enrolled and underwent cardiac surgery between June 2017 and December 2018 at the cardiac intensive care unit of Shanghai Children's Medical Center (Shanghai, China). Of these, 58 patients underwent the RVAI procedure and 58 patients matched 1:1 underwent the standard median sternotomy incision (MSI) procedure and were designated as the control group. The demographic data and clinical outcomes intra‑ and postoperatively were compared. A bedside lung ultrasound was performed to evaluate the degree of lung injury and the number of B‑lines was quantified and compared between the two groups. The sedation and analgesia levels were also assessed after the operation. No significant difference was identified between the two groups regarding the overall cardiopulmonary bypass or aortic cross‑clamp time. All patients were extubated within 8 h. The RVAI group had shorter incision lengths (median, 4.6 cm) and less drainage (median, 15 ml) than the MSI group. Furthermore, compared to the MSI group, the RVAI group had a significantly higher number of B‑lines in the right lung regions immediately after surgery and at 12 h postsurgery (24.1 and 5.2%, respectively) but eventually exhibited no differences at 24 and 36 h postsurgery; by contrast, there were no differences in the left lung regions. The bedside bispectral index score and the Face, Legs, Activity, Cry, Consolability scale score exhibited no significant differences after the operation. In conclusion, the RVAI procedure appears to be a safe alternative for repairing VSDs in addition to satisfactory cosmetic results and the incision does not interfere with postoperative analgosedation.
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Copy and paste a formatted citation
Spandidos Publications style
Li C, Gong X, Huang J, Zhu L, Dong W, Zhang M, Liu Y and Xu Z: Effects of repairing ventricular septal defects with right vertical infra‑axillary mini‑incision on lung function and postoperative analgosedation. Exp Ther Med 21: 302, 2021.
APA
Li, C., Gong, X., Huang, J., Zhu, L., Dong, W., Zhang, M. ... Xu, Z. (2021). Effects of repairing ventricular septal defects with right vertical infra‑axillary mini‑incision on lung function and postoperative analgosedation. Experimental and Therapeutic Medicine, 21, 302. https://doi.org/10.3892/etm.2021.9733
MLA
Li, C., Gong, X., Huang, J., Zhu, L., Dong, W., Zhang, M., Liu, Y., Xu, Z."Effects of repairing ventricular septal defects with right vertical infra‑axillary mini‑incision on lung function and postoperative analgosedation". Experimental and Therapeutic Medicine 21.4 (2021): 302.
Chicago
Li, C., Gong, X., Huang, J., Zhu, L., Dong, W., Zhang, M., Liu, Y., Xu, Z."Effects of repairing ventricular septal defects with right vertical infra‑axillary mini‑incision on lung function and postoperative analgosedation". Experimental and Therapeutic Medicine 21, no. 4 (2021): 302. https://doi.org/10.3892/etm.2021.9733
Copy and paste a formatted citation
x
Spandidos Publications style
Li C, Gong X, Huang J, Zhu L, Dong W, Zhang M, Liu Y and Xu Z: Effects of repairing ventricular septal defects with right vertical infra‑axillary mini‑incision on lung function and postoperative analgosedation. Exp Ther Med 21: 302, 2021.
APA
Li, C., Gong, X., Huang, J., Zhu, L., Dong, W., Zhang, M. ... Xu, Z. (2021). Effects of repairing ventricular septal defects with right vertical infra‑axillary mini‑incision on lung function and postoperative analgosedation. Experimental and Therapeutic Medicine, 21, 302. https://doi.org/10.3892/etm.2021.9733
MLA
Li, C., Gong, X., Huang, J., Zhu, L., Dong, W., Zhang, M., Liu, Y., Xu, Z."Effects of repairing ventricular septal defects with right vertical infra‑axillary mini‑incision on lung function and postoperative analgosedation". Experimental and Therapeutic Medicine 21.4 (2021): 302.
Chicago
Li, C., Gong, X., Huang, J., Zhu, L., Dong, W., Zhang, M., Liu, Y., Xu, Z."Effects of repairing ventricular septal defects with right vertical infra‑axillary mini‑incision on lung function and postoperative analgosedation". Experimental and Therapeutic Medicine 21, no. 4 (2021): 302. https://doi.org/10.3892/etm.2021.9733
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