Publication:
Mini-thoracotomy Approach for Heart Surgery in Tertiary Care Hospital of Nepal

creativeworkseries.issn1999-6217
dc.contributor.authorBhattarai, Anil
dc.contributor.authorShah, Sangam
dc.contributor.authorRanabhat, Kamal
dc.contributor.authorChand, Swati
dc.contributor.authorThapa, Sangharsha
dc.contributor.authorKhakural, Prabhat
dc.date.accessioned2025-07-18T06:56:32Z
dc.date.available2025-07-18T06:56:32Z
dc.date.issued2024
dc.descriptionAnil Bhattarai Department of Cardiothoracic and Vascular Surgery, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Nepal Sangam Shah Tribhuvan University, Institute of Medicine, Maharajgunj, 44600, Nepal Kamal Ranabhat Tribhuvan University, Institute of Medicine, Maharajgunj, 44600, Nepal Swati Chand Kathmandu University School of Medical Sciences, Dhulikhel, Nepal Sangharsha Thapa Kathmandu University School of Medical Sciences, Dhulikhel, Nepal Prabhat Khakural Department of Cardiothoracic and Vascular Surgery, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Nepal
dc.description.abstractBackground: The usual surgical technique for heart surgery has been median sternotomy, which provides excellent exposure of all cardiac structures and facilitates the establishment of cardiopulmonary bypass with central cannulation. A number of alternative surgical techniques, including the right anterolateral thoracotomy, posterolateral thoracotomy, and partial sternotomy, have been suggested. We want to share our experience with right anterior mini-thoracotomy versus right axillary mini-thoracotomy for closing an atrial septal defect. Methods: The study was a retrospective cross-sectional study conducted in a hospital. The study comprised patients with atrial septal defect admitted to Green City Hospital in Kathmandu, Nepal. From May 2016 until September 2021. Data was extracted to MS excel sheet, and then transported to the STATA version 17 for analysis. First, we computed descriptive analysis which included calculation of frequency, percentage, mean and median for presentation of socio-demographic variables. Continuous data were tested for normality using Shapiro-Wilk test. Results: A total of 25 patient were included in the study with median age 26 years (20-32). The median aortic cross clamp time was 25 minutes ranging 20-35 min. The median duration of cardiopulmonary bypass time ranging from 31to 161 minutes. The median time of Ax was 25 minutes and 26 minutes for right anterior mini-thoracotomy and right axillary mini-thoracotomy respectively. The median duration of hospital stay was 4 days ranging from 3-4 days. Nearly 36% study participants were associated with abnormal body mass index. (Either under nutrition or over nutritional status). Conclusions: There were no significant differences between the duration of intensive care unit and hospital stays, aortic cross clamp time, and complications between the two groups. However, the possibility of less blood loss during surgery and of cosmetic appearance in axillary incision is of special importance. Keywords: Heart surgery; mini-thoracotomy; Nepal; right anterior; right axillary.
dc.identifierhttps://doi.org/10.33314/jnhrc.v22i02.4784
dc.identifier.urihttps://hdl.handle.net/20.500.14572/378
dc.language.isoen_US
dc.publisherNepal Health Research Council
dc.titleMini-thoracotomy Approach for Heart Surgery in Tertiary Care Hospital of Nepal
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage436
oaire.citation.startPage430
relation.isJournalIssueOfPublicatione2d42a19-cf81-48dd-bb3c-195f14182d84
relation.isJournalIssueOfPublication.latestForDiscoverye2d42a19-cf81-48dd-bb3c-195f14182d84
relation.isJournalOfPublication40bd2739-8b19-447c-be60-723a1bdd1dcd

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