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Articolul urmator |
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SM ISO690:2012 CRETU, Stefan, ROTARU, Adrian, BATRÎNAC, Aureliu. Minimally invasive surgery approach in case of solitary aortic defect. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 306. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 306-306 | ||||||
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Background: Mini-sternotomy for plastic surgery or isolated aortic valve replacement requires rapid recovery with diminished convalescence time, improved cosmetic outcome and lower hospital costs. The basic clinical benefit of a mini-sternotomy implies that the lower half of the ribcage remains intact. Objective of the study. Mini-sternotomy for plastic surgery or isolated aortic valve replacement requires rapid recovery with diminished convalescence time, improved cosmetic outcome and lower hospital costs. Material and Methods. In the period April 2014 - April 2019 in Medpark Hospital were operated 76 patients with severe aortic valve solitary. All patients underwent inverted J-sternotomy, which extended over the sternum handle to the third right intercostal space, without opening the pleural cavity. The ages of the patients ranged from 23 to 77 years, 50 -men and 26 -women. Results.The length of stay in intensive care was significantly shorter with 0.61 days in favor of the mini-sternotomy group. There was no benefit in terms of ventilation duration. There was evidence suggesting a reduction in blood loss and length of stay in the hospital in the mini-sternotomy group. This did not prove statistically significant (the reduction with, on average, by 114.4 ml and 2.03 days less hospitalization). Deep sternal infections were not reported. Conclusion. Mini-sternotomy for isolated aortic valve replacement significantly reduces the length of stay in cardiac intensive care. Other short-term benefits may include lowering blood loss. At the same time, deep sternal infections were not reported, which is a remarkable result. |
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Cuvinte-cheie Mini-sternotomy, aortic valve replacement, J-sternotomy, ministernotomie, înlocuirea valvei aortice, sternotomia J |
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