| Lower Mid-line Skin Incision
with Full Sternotomy as an Approach for Pediatric Atrial Septal
Defect Repair |
(Department of Surgery, Keio University School of
Medicine, Tokyo, Japan)
| Ichiro Kashima |
Ryo Aeba |
Toshiyuki Katogi |
| Kenichi Hashizume |
Yoshimi Iino |
Shiaki Kawada |
|
Recently, the demand for better
cosmetic outcomes in pediatric cardiovascular operations has
been growing. Between May 1998 and April 1999，six children aged
2 to 6 years with an ostium secundum type of atrial septal defect
underwent reparative operations that used an approach consisting
of a lower mid-line skin incision with full sternotomy. A 4.2-5.8cm
vertical skin incision (mean，4.9±0.3cm）was made between the level
of the nipple and the xyphoid process. Comparison between this
series and a group of weight-matched patients who underwent conventional
operations revealed no significant differences in operation time（166.0±12.0vs.
147±8.4min), cardiopulmonary bypass time（33.2±4.0vs. 32.2±2.4min),
aortic cross-clamp time（13.8±2.3vs. 12.3±1.3min), or the reduction
in the hemoglobin concentration in blood on the first postoperative
day（1.7±0.3vs. 2.9±0.6g/dl). The surgical wound was not associated
with any complications in our series, including wound infection
or subcutaneous hematoma. Our technique appears to be safe and
provide satisfactory cosmetic outcome.
Jpn. J. Cardiovasc. Surg. 29: 225-228 (2000) |
|
