الفهرس | Only 14 pages are availabe for public view |
Abstract Because of the continuous trend towards less invasive procedures, cardiac operations have become increasingly more sophisticated and complex minimally invasive techniques in cardiac operations require higher surgical abilities to accomplish the same quality compared with the traditional procedures with cardiopulmonary bypass (CPB) or sternotomy. Refinements in surgical techniques have reduced morbidity and mortality related to valve operations. Less invasive approaches for the surgical treatment of The valve disease were introduced with success. Minimally invasive valve surgery has evolved into a well tolerated, efficient surgical treatment option in experienced centers, providing greater patient satisfaction and lower complication rates. Potential advantages of minimally invasive valve replacement arise from the concept that patient morbidity and potential mortality could be reduced without compromising the excellent results of the conventional procedure and include improved cosmetic results, safer access in the case of reoperation, less post-operative bleeding, less blood transfusions, lower intensive care unit and in-hospital stays, as well as the absence of sternal wound infection. These results were achievable also in high-risk patients. Reduced pain and hospital length of stay, decreased time until return to full activity, and decreased blood product use have also been demonstrated. Most notable of all, however, is the reduction in post-operative hemorrhage and transfusion requirements. |