التفاصيل البيبلوغرافية
| العنوان: |
Pass On What You Have Learned: A Structured Mentor-Mentee Concept for the Implementation of a Minimally Invasive Mitral Valve Surgery Program. |
| المؤلفون: |
Heim, Christian1 (AUTHOR), Müller, Philipp P.1 (AUTHOR), Massoudy, Parwis2 (AUTHOR), Harig, Frank1 (AUTHOR), Nooh, Ehab1 (AUTHOR), Weyand, Michael1 (AUTHOR), Czesla, Markus2 (AUTHOR) |
| المصدر: |
European Surgical Research. 2022, Vol. 63 Issue 2, p98-104. 7p. |
| مصطلحات موضوعية: |
*MITRAL valve surgery, *MITRAL valve, *THORACOTOMY, *MINIMALLY invasive procedures, *CARDIAC surgery, *ANESTHESIOLOGISTS |
| مصطلحات جغرافية: |
GERMANY |
| مستخلص: |
Introduction: Starting a minimally invasive cardiac surgery (MICS) for mitral valve repair (MVR) program is challenging as it requires a new learning curve, but compromising surgical results at the same time is not acceptable. Here, we describe our surgical educational experience of starting a new MICS program at a university heart center in Germany. Methods: A dedicated team for the new MICS program including 2 cardiac surgeons, 1 cardiac anesthetist, 1 perfusionist, and 1 scrub nurse was chosen. The use of long shafted instruments was trained in a low-cost self-assembled MICS simulator, and the EACTS endoscopic dry lab course was visited. Thereafter, 1 MICS center was visited for direct observation and peer-to-peer education for 6 weeks. The mentor observed the first 10 cases performed by the mentee. The surgical mitral valve expertise of 1 single cardiac surgeon was retrospectively analyzed between April 2016 and April 2021. Results: Before the implementation of the MICS-MVR program, 18 mitral valve operations have been performed through sternotomy between April 2016 and October 2018 including 12 replacements and 6 ring annuloplasties. After starting the MICS-MVR program, 73 mitral operations have been performed by the same surgeon of which 53 video-assisted through minithoracotomy (72.6%). 83.1% of the MICS procedures included complex repair (n = 38) and ring annuloplasty (n = 6). Open heart MV surgery was necessary in 20 patients due to concomitant procedures (n = 8), redo procedures (n = 2), severe endocarditis (n = 4), or contraindication for MICS such as PAD (n = 6). There have been no deaths, 1 stroke, and 1 cardiac vascular (RCX) complication. Two patients required conversion to sternotomy and one pericardiocentesis in the long term. Conclusion: Typically, excellent exposure and high repair rates of the MV has led us offer MICS approach to a majority of patients with isolated MV disease. Careful planning and a strict mentor-mentee concept facilitated a safe startup of an MICS program in a busy university heart center. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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