Skip to main content

Cosmetic benefits of lower midline skin incision for pediatric open heart operation

A review of 100 cases

The Japanese Journal of Thoracic and Cardiovascular Surgery volume 50, pages 55–58 (2002)Cite this article

Abstract

Objective: Since we developed the procedure in 1996, we have now performed 100 pediatric open heart operations using a lower midline skin incision and a minimal sternotomy approach.Methods and Results: To elucidate the benefits of this approach, we analyzed these 100 cases retrospectively. There was no death, and no major complication, caused by this approach, and the resulting scarring in each patient is difficult to be seen under a common undershirt.Conclusion: This review shows that the technique of a lower midline skin incision and minimal sternotomy approach is a safe reliable and cosmetically advantageous method for a pediatric cardiac operation.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

43,34 €

Price includes VAT (Finland)
Tax calculation will be finalised during checkout.

References

  1. Rosengart TK, Stark JF. Repair of atrial septal defect through a right thoracotmy. Ann Thorac Surg 1993; 55: 1138–40.

    PubMed  CAS  Google Scholar 

  2. Massetti M, Babatasi G, Rossi A, Neri E, Bhoyroo S, Zitouni S, et al. Operation for atrial septal defect through a right anterolateral thoracotomy: current outcome. Ann Thorac Surg 1996; 62: 1100–3.

    PubMed  Article  CAS  Google Scholar 

  3. Laks H, Hammond GL. A cosmetically acceptable incision for the median sternotomy. J Thorac Cardiovasc Surg 1980; 79: 146–9.

    PubMed  CAS  Google Scholar 

  4. Bedard P, Keon WJ, Brais MP, Goldstein W, Submammary skin incision as a cosmetic approach to median sternotomy. Ann Thorac Surg 1986; 41: 339–41.

    PubMed  CAS  Google Scholar 

  5. Komai H, Naito Y, Fujiwara K, et al. Lower mid-line skin incision and minimal sternotomy: a more cosmetic challenge for pediatric cardiac surgery. Cardiol Young 1996; 6: 76–9.

    Article  Google Scholar 

  6. Chang CH, Lin PJ, Chu JJ, Liu HP, Tsai FC, Lin FC, et al. Video-assisted cardiac surgery in closure of atrial septal defect. Ann Thorac Surg 1996; 62: 697–701.

    PubMed  Article  CAS  Google Scholar 

  7. Grinda JM, Folliguet TA, Dervanial P, Macè L, Legault B, Neveux JY. Right anterolateral thoracotomy for repair of atrial septal defect. Ann Thorac Surg 1996; 62: 175–8.

    PubMed  Article  CAS  Google Scholar 

  8. Martinez-Sanz R, Fleitas MG, de la Llana R, Echevarria JR, Porras I, Gonzalez Miranda F, et al. Submammary median sternotomy. J Cardiovasc Surg 1990; 31: 578–80.

    CAS  Google Scholar 

  9. Wilson Jr WR, Iibawi MN, DeLeon SY, Piccione W, Tubeszewski K, Cutilletta AF. Partial median sternotomy for repair of heart defects: a cosmetic approach. Ann Thorac Surg 1992; 54: 892–3.

    PubMed  Article  Google Scholar 

  10. Black MD, Freedom RM. Minimally invasive repair of atrial septal defects. Ann Thorac Surg 1998; 65: 765–7.

    PubMed  Article  CAS  Google Scholar 

  11. Tatebe S, Eguchi S, Miyamura H, Nakazawa S, Watanabe H, Sugawara M, et al. Limited vertical skin incision for median sternotomy. Tex Heart Inst J 1999; 26: 124–8.

    Google Scholar 

  12. Wang YQ, Chen RK, Ye WW, Zhong BT, He QC, Chen ZL, et al. Open-heart surgery in 48 patients via a small right anterolateral thoracotomy. Tex Heart Inst J 1999; 26: 124–8.

    PubMed  CAS  Google Scholar 

  13. Barbero-Marcial M, Tanamati C, Jatene MB, Atik E, Jatene AD. Transxiphoid approach without median sternotomy for the repair of atrial septal defects. Ann Thorac Surg 1998; 65: 771–4.

    PubMed  Article  CAS  Google Scholar 

  14. Bichell DP, Geva T, Bacha EA, Mayer JE, Jonas RA, del Nido PJ. Minimal access approach for the repair of atrial septal defect: the initial 135 patients. Ann Thorac Surg 2000; 70: 115–8.

    PubMed  Article  CAS  Google Scholar 

  15. Herman BE, Wallace HW, Gadboys HL, Litwal RS. Anterior crural syndrome as a complication of cardiopulmonary bypass. J Thorac Cardiovasc Surg 1966. 52: 755–8.

    PubMed  CAS  Google Scholar 

  16. Shirasawa B, Hamano K, Katoh T, Fujimura Y, Tsuboi H, Esato K. A case report of open heart surgery in an infant with MNMS caused by femoral arterial cannulation during cardiopulmonary bypass (Eng abstr). J Jpn Assn Thorac Surg 1996; 44: 1902–6.

    CAS  Google Scholar 

  17. Matsuda H. Minimally invasive cardiac surgery: principle and prospects. Surg Today 1998; 28: 775–9.

    PubMed  Article  CAS  Google Scholar 

Download references

Author information

Affiliations

  1. Department of Thoracic and Cardiovascular Surgery, Wakayama Medical University, 811-1, Kimiidera, 641-0012, Wakayama, Japan

    Hiroyoshi Komai MD, Yasuaki Naito MD, Keiichi Fujiwara MD & Yasuzo Noguchi MD

Authors
  1. Hiroyoshi Komai MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yasuaki Naito MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Keiichi Fujiwara MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yasuzo Noguchi MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Komai, H., Naito, Y., Fujiwara, K. et al. Cosmetic benefits of lower midline skin incision for pediatric open heart operation. Jpn J Thorac Caridovasc Surg 50, 55–58 (2002). https://doi.org/10.1007/BF02919665

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02919665

Key words

  • cosmetic surgery
  • pediatric open heart operation
  • small incision
  • congenital heart disease