Ersin EREK, Mehmet KAYA, Ahmet İRDEM, Sevin GÜLBEYAZ ÖZGÜL, Gözde UYANIK, Hüsnü Fırat ALTIN, Özgen KOÇYİĞİT ILGAZ, Okan YILDIZ

Patient perception, satisfaction and cosmetic results of surgical atrial septal defect closure: Minithoracotomy versus sternotomy

Amaç: Bu çalışmada atriyal septal defekt (ASD) kapatılmasındakullanılan iki cerrahi teknik [sağ lateral minitorakotomi(RLMT) ve median sternotomi (MS)] karşılaştırıldı ve hastamemnuniyeti, kozmetik sonuçlar ve hasta algısı skar ve mentaldurum değerlendirilmesinde kullanılan testlerle ölçüldü.Çalışmaplanı: Çalışmaya MS yöntemi ile ameliyat edilen 14(grup MS) ve RLMT yöntemi ile ameliyat edilen 12 (grup RLMT)hasta olmak üzere toplam 26 ASD hastası dahil edildi. Hastalarinsizyon bölgelerine göre iki gruba ayrıldı. Hastaların insizyonskarları Vancouver Yara İzi Ölçeği (VSS) ve Hasta ve GözlemciYara İzi Değerlendirme (POSAS) kriterlerine göre objektifolarak değerlendirildi. Bunun yanı sıra, hastaların algısınıölçmek için hastalara Hasta Memnuniyeti Puanı (HMP), BedenAlgısı Anketi (BAA) ve Hamilton Anksiyete DerecelendirmeÖlçeği (HADÖ) uygulandı.Bul gu lar: Toplam hasta memnuniyeti RLMT grubundaMS grubundan daha fazla idi (p=0.021). İki grup arasındaVSS, BAA, HADÖ ve cilt tipi açısından anlamlı farklılıkyoktu. Ortalama skar uzunluğu (p

Cerrahi olarak atriyal septal defekt kapatılmasının kozmetik sonuçları, hasta algısı ve memnuniyeti: Sternotomiye göre minitorakotomi

Background: This study aims to compare two surgical techniques[right lateral minithoracotomy (RLMT) and median sternotomy(MS)] used to close atrial septal defects (ASD), and measurepatient satisfaction, cosmetic results, and patient perception withtests used for evaluating scar and mental status.Methods: A total of 26 ASD patients were included in thestudy, of which 14 were operated with the MS method (groupMS), and 12 were operated with the RLMT method (groupRLMT). Patients were divided into two groups according to theincision sites. Patients incision scars were assessed objectivelyaccording to Vancouver Scar Scale (VSS), and Patient andObserver Scar Assessment (POSAS) criteria. Besides, patientswere administered Patient Satisfaction Score (PSS), Body ImageQuestionnaire (BIQ), and The Hamilton Anxiety Rating Scale(HAM-A) to measure their perception.Results: Overall patient satisfaction was greater in the RLMTgroup than the MS group (p=0.021). There was no significantdifference between the two groups in terms of VSS, BIQ, HAM-A,and skin type. Average scar length (p

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