Comparing Ministernotomy and Standard Sternotomy in Double Valve Replacement: A Study on Surgical Outcomes and Efficacy

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@article{1707946,
      author = {Asraful Hoque, Syeda Jabin Saria; Dr. K. A. M. Mahbub Hasan, Md Mehedi Hasan; Imran Ahmed, Dr Nurun Nahar; Sinigdha Islam, Banasree Roy Urmi; Aditta Das; Dr. Mahmudul Hasan},
      title = {Comparing Ministernotomy and Standard Sternotomy in Double Valve Replacement: A Study on Surgical Outcomes and Efficacy},
      journal = {Iconic Research And Engineering Journals},
      year = {2025},
      volume = {8},
      number = {10},
      pages = {1243-1252},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1707946.pdf},
      abstract = {Background and objective: 
 In this study, we compared the outcomes of combined aortic and mitral valve surgery through minimally invasive upper partial sternotomy versus conventional median sternotomy.
Methods: This study was conducted at the National Institute of Cardiovascular Diseases, Bangladesh from July 2021 to July 2023. Total thirty patients were prospectively enrolled in our study and assigned into two equal groups. All patients above 18 years old of both genders with indications for replacement of both aortic and mitral valve were enrolled in this study. Total fifteen patients were assigned to group ?A which were in minimally invasive upper mini-sternotomy.  The other fifteen (15) patients were assigned to group -B which were in conventional full median sternotomy. 
Results:  The age of group A was 34.20?6.16 years and of the full median sternotomy group B was 35.27 ?5.31 with no statistical difference between two groups (P=0.6144 ). The mean cross-clamp time, CPB time and total operative time were slightly longer in the group A than in group B but showed no statistically significant differences (p-values are 0.1129, 0.0947 and  0.0773, respectively).   Postoperative bleeding or the amount of chest tube drainage in the first 24 hours  was significantly less in group A (433.33?58.64 ml) when compared with group B (497.33 ?69.95 ml) with p-values of 0.0112. The mean duration of mechanical ventilation was significantly shorter in group A (5.90?0.88 hours) than in group B (6.53? 0.746 hours) with  p-value of 0.0428. The length of ICU stay was significantly less in group A (3.93?0.46 days) than group B (4.47?0.64 days)  with statistical difference (P=0.0130). Patients in the MICS DVR group experienced less pain and had a shorter average hospital stay (6.47 ? 0.64 days) compared to Group B (7.07 ? 0.59 days), with a statistically significant difference (P = 0.0125). Mortality rates were similar in both groups.},
      month = {April},
  }