TY - JOUR
T1 - Comparison of minimally invasive cardiac surgery incisions
T2 - Periareolar approach in female patients
AU - Durdu, Mustafa Serkan
AU - Baran, Çağdaş
AU - Gümüş, Fatih
AU - Deniz, Gökay
AU - Çakıcı, Mehmet
AU - Özçınar, Evren
AU - Bermede, Ahmet Onat
AU - Uçanok, Kemalattin
AU - Akar, Ahmet Rüçhan
N1 - Publisher Copyright:
© 2018 by Turkish Society of Cardiology.
PY - 2018/11
Y1 - 2018/11
N2 - Objective: All innovations in cardiac surgery provide us with new techniques to perform surgery through smaller incisions with less invasive and best cosmetic results. After promising results in minimally invasive cardiac surgery (MICS), pain and cosmetic appearance became important end points, especially for female patients. In the current study, we intended to evaluate the surgical results and cosmetic satisfaction with the periareolar and submammary incision types in cardiac surgery. Methods: Ninety-four female patients underwent MICS between July 2013 and March 2018. MICS was performed in 62 patients via periareolar incision and in 32 patients via submammarian incision. We investigated the incision size, wound infection, pain levels by using a postoperative standard pain-level questionnaire, the postoperative scar size, and patient satisfaction using a postoperative patient questionnaire. Results: Periareolar incision size was smaller than the submammary incision (Group A: 5.6±0.6 vs. Group B: 6.7±0.8, p=0.001). Four patients from Group B had superficial wound infection (p=0.01). Patients who underwent MICS via periareolar incision and submammary incision had similar pain level (p=0.2). The scar tissue was smaller in size and postoperatively healed better in the following days for the patients with periareolar incision due to the elastic structure of breast tissue. (Group A: 4.3±0.4 vs. Group B: 5.3±0.2, p=0.001). Conclusion: Our study suggests that the periareolar approach would be more aesthetic, show better healing, and have a smaller scar size in female patients.
AB - Objective: All innovations in cardiac surgery provide us with new techniques to perform surgery through smaller incisions with less invasive and best cosmetic results. After promising results in minimally invasive cardiac surgery (MICS), pain and cosmetic appearance became important end points, especially for female patients. In the current study, we intended to evaluate the surgical results and cosmetic satisfaction with the periareolar and submammary incision types in cardiac surgery. Methods: Ninety-four female patients underwent MICS between July 2013 and March 2018. MICS was performed in 62 patients via periareolar incision and in 32 patients via submammarian incision. We investigated the incision size, wound infection, pain levels by using a postoperative standard pain-level questionnaire, the postoperative scar size, and patient satisfaction using a postoperative patient questionnaire. Results: Periareolar incision size was smaller than the submammary incision (Group A: 5.6±0.6 vs. Group B: 6.7±0.8, p=0.001). Four patients from Group B had superficial wound infection (p=0.01). Patients who underwent MICS via periareolar incision and submammary incision had similar pain level (p=0.2). The scar tissue was smaller in size and postoperatively healed better in the following days for the patients with periareolar incision due to the elastic structure of breast tissue. (Group A: 4.3±0.4 vs. Group B: 5.3±0.2, p=0.001). Conclusion: Our study suggests that the periareolar approach would be more aesthetic, show better healing, and have a smaller scar size in female patients.
KW - Minimally invasive cardiac surgery
KW - Periareolar incision
KW - Submammary incision
UR - http://www.scopus.com/inward/record.url?scp=85056262464&partnerID=8YFLogxK
U2 - 10.14744/AnatolJCardiol.2018.37200
DO - 10.14744/AnatolJCardiol.2018.37200
M3 - Article
C2 - 30391967
AN - SCOPUS:85056262464
SN - 2149-2263
VL - 20
SP - 283
EP - 288
JO - Anatolian Journal of Cardiology
JF - Anatolian Journal of Cardiology
IS - 5
ER -