Efficacy of Limited Right Anterior Thoracotomy Versus Median Sternotomy for Mitral Valve Replacement
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 41
- 试验地点
- 1
- 主要终点
- post operative pain threshold (Visual analog scale (VAS):0 to 10 assess pain from no pain-mild -moderate- sever-worst pain possible
研究概览
简要总结
this study compare between two diffrent methods for approach mitral valve in mitral valve replacement throgh opening of the middle of the sternum by saw or through opening between 4th and 5th rib on the right side of the chest without saw
详细描述
study the efficacy of mitral valve replacement by median sterntomy versus limited right thoractomy
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients diagnosed with acquired isolated mitral valve disease requiring mitral valve replacement > 18 years
排除标准
- •patients with Previous cardiac surgery, • Patients less than 18 years, • Patients with other valvular heart lesions (aortic valve or tricuspid valve) , IHD Patients , Obese patients (BMI>35), COPD patients
研究组 & 干预措施
Limited Right Anterior Thoracotomy
mitral valve replacement through minimal invasive approach
干预措施: mitral valve replacement through limited right anterior thoractomy (Procedure)
median sternotomy
mitral valve replacement through traditional median sterntomy approach
干预措施: mitral valve replacement through median sterntomy (Procedure)
结局指标
主要结局
post operative pain threshold (Visual analog scale (VAS):0 to 10 assess pain from no pain-mild -moderate- sever-worst pain possible
时间窗: 5 days after surgery
measured by universal pain assessment tool
length of skin incision (cosmotic scar)
时间窗: 1 week after surgery
measured by centimetre by ruler
wound satisfaction scale (quality of life questionnaire)
时间窗: 2 weeks after surgery
modified Likert scale for wond satisfaction:(very dissatisfied,dissatisfied,neutral, satisfied,very satisfied)
次要结局
未报告次要终点