Bernard STOCKMAN, Ivan DEGRIECK, Frank Van PRAET, Yvette VERMEULEN, Filip CASSELMAN, Johan Van der MERWE

Aşırı obezitede endoskopik atriyoventriküler kapak cerrahisi

Obezite 21. yüzyılın en önemli kamu sağlığı sorunlarından biridir ve dünya çapında aşırı obez hastaların görülme sıklığı artmaktadır. Sternal dehisens ve yara enfeksiyonları bu hastalarda klasik sternotomi ile ilişkili yıkıcı morbiditeler arasındadır. Öngörülen teknik zorluklar, hastane morbiditesi ve artmış mortalite riskleri cerrahları bu hastalara minimal invaziv yaklaşımlar seçeneğini ve bunların faydalarını önermekten sıklıkla alıkoyar. Bu olgu serisinde mevcut cerrahi ekibimiz tarafından ameliyat edilen, vücut kütle indeksi 40’ın üzerinde olan yedi ardışık hastada endoskopik port erişimli atriyoventriküler kapak cerrahisindeki ameliyat sırası ve uzun vadeli klinik ve ekokardiyografik sonuçlarımız sunuldu.

Endoscopic atrioventricular valve surgery in extreme obesity

Obesity is one of the greatest public health challenges of the 21st century and worldwide incidence of extreme obese patients is increasing. Sternal dehiscence and wound infections are amongst the devastating morbidities associated with classic sternotomy in these patients. The perceived technical challenges, in-hospital morbidity and increased mortality risks often deter surgeons from offering these patients the option and benefits of minimally invasive approaches. This case series presents our perioperative and long-term clinical and echocardiographic outcomes of endoscopic port access atrioventricular valve surgery in seven consecutive patients with body mass indexes above 40, operated by our current surgical team.

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