| [Abstract]: Objective To explore the feasibility and safety of ventricular septal defect repair by cardiopulmonary bypass through right subaxillary small incision by analyzing and comparing the case data of median incision and right subaxillary small incision. Methods Retrospective analysis was conducted from January 2009 to January 2009 During December 2015, data of 80 cases of ventricular septal defect repair under extracorporeal circulation in our hospital were divided into two groups according to different surgical incision methods: the right axillary small incision group (observation group,n=40) and the median incision group (control group,n=40). The medical data of the two groups were analyzed, and the indexes included: operation time extracorporeal circulation time Ascending aorta blocking time Average perfusion flow average perfusion pressure average pump pressure intraoperative blood loss 24h postoperative drainage flow postoperative blood transfusion rate Ventilator use time ICU time postoperative hospital stay. Results Surgery was successful in both groups, preoperative data of both groups, gender, age, weight There were no statistically significant differences in the size and complications of ventricular defects (P>0.05) There were no significant differences in intraoperative and postoperative indicators between the two groups in operative time, cardiopulmonary bypass time, ascending aorta blocking time, mean perfusion flow, mean perfusion pressure and postoperative ventilator use time (P>0.05); The observation group was significantly lower than the control group in terms of intraoperative blood loss, 24h postoperative drainage, postoperative blood transfusion, postoperative ICU time, postoperative hospital stay (P<0.05), with statistical significance. Conclusion The repair technique of ventricular septal defect through right subaxillary small incision under CPB is safe and feasible, with less trauma and faster body recovery. |
