Cannulation Strategies for Minimally Invasive Cardiac Surgery

2020 ◽  
Vol 15 (3) ◽  
pp. 261-269 ◽  
Author(s):  
Joseph Lamelas ◽  
Corinne Aberle ◽  
Alejandro E. Macias ◽  
Ahmed Alnajar
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Anatomical Variations ◽  
Minimally Invasive Cardiac Surgery ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures ◽  
Operative Techniques ◽  
The Past ◽  
Effective Operation

Objective Operative techniques for minimally invasive cardiac surgery (MICS) have evolved dramatically over the past decade to include a wide demographic of patients. Mastering a variety of cannulation techniques is of paramount importance in performing a safe perfusion strategy and operation. Our aim is to describe cannulation strategies utilized in various MICS procedures. Methods We review numerous cannulation strategies and their application in different minimally invasive procedures. Results Cannulation strategies will vary depending on the MICS procedure and other anatomical variations and obstacles. Utilizing the appropriate cannulation strategy will allow for a safe and effective operation. Conclusions Mastering the art of cannulation will provide surgeons with a toolbox to choose from when performing MICS in a wide variety of procedures.

scholarly journals COMPARISON OF SAFETY AND EFFICACY OF PNEUMATIC VERSUS LASER LITHOTRIPSY IN URETERIC STONES

2021 ◽  
Vol 12 (2) ◽  
Author(s):  
Ata ur Rehman Rana ◽  
Syed Atif Hussain Rana ◽  
Muhammad Saddiq Haris ◽  
Kizar Hayat Gondal ◽  
Ali Shandar Durrani ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Laser Lithotripsy ◽  
P Value ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures ◽  
Safety And Efficacy ◽  
Pneumatic Lithotripsy ◽  
The Past ◽  
Group A ◽  
Group B

BACKGROUND & OBJECTIVE: Treatments for ureteral calculi evolve, over the past decades from open ureterolithotomy to minimally invasive procedures. Objective of this study is to compare the efficacy of pneumatic versus laser lithotripsy in ureteric stones. METHODOLGY: A RCT study was conducted in Department of Urology Sir Ganga Ram Hospital, Lahore from 1st March 2018 to 31st August 2018. Patients were divided into two groups. In group A, 2 Fr pneumatic probe was used for pneumatic lithotripsy, while in group B, 550 μm fiber probe was used for laser lithotripsy. RESULTS: Efficacy of Group A (pneumatic lithotripsy) was seen in 57 (77.63%) patients while in Group B (laser lithotripsy) was seen in 71 (93.42%) patients with p-value of 0.006 CONCLUSION: Laser lithotripsy in ureteric stones is better as compared to pneumatic lithotripsy.  

scholarly journals Minimal access in cardiac surgery

2020 ◽  
Vol 28 (4) ◽  
pp. 708-724
Author(s):  
Burak Onan
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Minimally Invasive Cardiac Surgery ◽  
Minimal Access ◽  
Surgical Experience ◽  
The Past ◽  
Technological Developments ◽  
Technical Details ◽  
Endoscopic Methods ◽  
Cardiac Operations

Over the past two decades, minimally invasive cardiac surgery has been adopted with the use of endoscopic methods in 1990s and advanced robotic surgery since the early 2000s. In parallel with technological developments, surgical experience has increased and several cardiac operations are able to be performed using different mini-incisions. In this review, we discuss approaches to minimally invasive cardiac surgery, incisions, technical details, and suggestions.

Readmission to the Intensive Care Unit in Times of Minimally Invasive Cardiac Surgery: Does Size Matter?

2015 ◽  
Vol 17 (6) ◽  
pp. 296 ◽  
Author(s):  
Udo Boeken ◽  
Jan Philipp Minol ◽  
Alexander Assmann ◽  
Arash Mehdiani ◽  
Payam Akhyari ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Minimally Invasive ◽  
Average Length ◽  
Minimally Invasive Cardiac Surgery ◽  
Invasive Procedures ◽  
Less Invasive ◽  
Increased Risk ◽  
Size Matter

<p><b>Objectives:</b> It is well known that patients who undergo readmission to an intensive care unit (ICU) after cardiac surgery face an increased risk of morbidity and mortality. The present study sought to evaluate whether less invasive procedures might be associated with a reduction of this economically as well as individually important problem. The role of the quantity of ICU and intermediate care (IMC) beds was investigated as well.</p><p><b>Methods:</b> Altogether, we reviewed 5,333 patients who underwent cardiac surgery in our department between 2005 and 2010. The incidence of and reasons for readmission were determined with regard to individual subgroups, particularly comparing minimally invasive procedures with conventional strategies.</p><p><b>Results:</b> A total of 5,132 patients were primarily discharged from the ICU. Out of this group, 293 patients were readmitted to the ICU at least once. After readmission, the average length of stay in the hospital was 21.9 � 11.3 days compared to 12.8 � 5.0 days in all other patients. Comparing the readmission rate in separate years, it was evident that this rate decreased with a growing ICU and IMC capacity. In patients who underwent less invasive cardiac surgery (ie, minimally invasive cardiac surgery, off-pump coronary artery bypass grafting), the readmission rates were significantly lower than in the entirety of patients studied.</p><p><b>Conclusion:</b> Readmission to the ICU after cardiac surgery is associated with impaired outcome. Extended resources in terms of ICU and IMC capacity may positively influence this problem by decreasing the number of readmissions. Modern surgical strategies with less invasive procedures may be associated with a reduced incidence of readmission as well.</p>

Minimally Invasive Cardiac Surgery Using a Flexible Aortic Clamp

2007 ◽  
Vol 10 (6) ◽  
pp. E428-E430
Author(s):  
B. Reddy Dandolu ◽  
John L. Parmet ◽  
Charles Yarnall ◽  
Alice Isidro ◽  
Charles R. Bridges
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Minimally Invasive Cardiac Surgery
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