Effect of minimally invasive versus conventional aortic root replacement on transfusion and postoperative wound complications in patients: A meta‐analysis
We examined whether small incision aortic root replacement could reduce the amount of blood transfusion during operation and the risk of postoperative complications. An extensive e‐review of the 4 main databases (PubMed, Cochrane, Web of Science and EMBASE) was carried out to determine all the publi...
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| Veröffentlicht in: | International wound journal 2024-02, Vol.21 (2), p.n/a |
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| creator | Chen, Yu Yu, Wenbo Jiang, Yue Gao, Jianfeng Xie, Dilin Yu, Junjian Li, Wentong Liu, Ziyou Xiong, Jianxian |
| description | We examined whether small incision aortic root replacement could reduce the amount of blood transfusion during operation and the risk of postoperative complications. An extensive e‐review of the 4 main databases (PubMed, Cochrane, Web of Science and EMBASE) was carried out to determine all the published trials by July 2023. The search terms used were associated with partial versus full sternotomy and aortic root. This analysis only included the study articles that compared partial and full sternotomy. After excluding articles based on titles or s, selected full‐text articles had reference lists searched for any potential further articles. We analysed a total of 2167 subjects from 10 comparable trials. The minimally invasive aortic root graft in breastbone decreased the duration of hospitalization (MD, −2.58; 95% CI, −3.15, −2.01, p |
| doi_str_mv | 10.1111/iwj.14396 |
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An extensive e‐review of the 4 main databases (PubMed, Cochrane, Web of Science and EMBASE) was carried out to determine all the published trials by July 2023. The search terms used were associated with partial versus full sternotomy and aortic root. This analysis only included the study articles that compared partial and full sternotomy. After excluding articles based on titles or s, selected full‐text articles had reference lists searched for any potential further articles. We analysed a total of 2167 subjects from 10 comparable trials. The minimally invasive aortic root graft in breastbone decreased the duration of hospitalization (MD, −2.58; 95% CI, −3.15, −2.01, p < 0.0001) and intraoperative red blood cell transfusion (MD, −1.27; 95% CI, −2.34, −0.19, p = 0.02). However, there were no significant differences in wound infection (OR, 0.88; 95% CI, 0.16, 4.93, p = 0.88), re‐exploration for bleeding (OR, 0.96; 95% CI, 0.60, 1.53, p = 0.86), intraoperative blood loss (MD, −259.19; 95% CI, −615.11, 96.73, p = 0.15) and operative time (MD, −7.39; 95% CI, −19.10, 4.32, p = 0.22); the results showed that the microsternotomy did not differ significantly from that of the routine approach. Small sternotomy may be an effective and safe substitute for the treatment of the aorta root. Nevertheless, the wide variety of data indicates that larger, well‐designed studies are required to back up the current limited literature evidence showing a benefit in terms of complications like postoperative wound infections or the volume of intraoperative red blood cell transfusion.</description><identifier>ISSN: 1742-4801</identifier><identifier>ISSN: 1742-481X</identifier><identifier>EISSN: 1742-481X</identifier><identifier>DOI: 10.1111/iwj.14396</identifier><identifier>PMID: 37740672</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>aortic root replacement ; Aortic stenosis ; Bias ; Cardiovascular disease ; Coronary vessels ; full sternotomy ; Heart ; Original ; Ostomy ; partial sternotomy ; Surgery ; Systematic review ; transfusion ; wound infection</subject><ispartof>International wound journal, 2024-02, Vol.21 (2), p.n/a</ispartof><rights>2023 The Authors. published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.</rights><rights>2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.</rights><rights>2024. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4046-33c59efdacd9c8e71b9a70a84a3b46e4059556e7596149212056510af77bd1d73</cites><orcidid>0000-0002-4768-6949 ; 0009-0002-0488-7289</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824600/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824600/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1411,11541,27901,27902,45550,45551,46027,46451,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37740672$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Yu</creatorcontrib><creatorcontrib>Yu, Wenbo</creatorcontrib><creatorcontrib>Jiang, Yue</creatorcontrib><creatorcontrib>Gao, Jianfeng</creatorcontrib><creatorcontrib>Xie, Dilin</creatorcontrib><creatorcontrib>Yu, Junjian</creatorcontrib><creatorcontrib>Li, Wentong</creatorcontrib><creatorcontrib>Liu, Ziyou</creatorcontrib><creatorcontrib>Xiong, Jianxian</creatorcontrib><title>Effect of minimally invasive versus conventional aortic root replacement on transfusion and postoperative wound complications in patients: A meta‐analysis</title><title>International wound journal</title><addtitle>Int Wound J</addtitle><description>We examined whether small incision aortic root replacement could reduce the amount of blood transfusion during operation and the risk of postoperative complications. An extensive e‐review of the 4 main databases (PubMed, Cochrane, Web of Science and EMBASE) was carried out to determine all the published trials by July 2023. The search terms used were associated with partial versus full sternotomy and aortic root. This analysis only included the study articles that compared partial and full sternotomy. After excluding articles based on titles or s, selected full‐text articles had reference lists searched for any potential further articles. We analysed a total of 2167 subjects from 10 comparable trials. The minimally invasive aortic root graft in breastbone decreased the duration of hospitalization (MD, −2.58; 95% CI, −3.15, −2.01, p < 0.0001) and intraoperative red blood cell transfusion (MD, −1.27; 95% CI, −2.34, −0.19, p = 0.02). However, there were no significant differences in wound infection (OR, 0.88; 95% CI, 0.16, 4.93, p = 0.88), re‐exploration for bleeding (OR, 0.96; 95% CI, 0.60, 1.53, p = 0.86), intraoperative blood loss (MD, −259.19; 95% CI, −615.11, 96.73, p = 0.15) and operative time (MD, −7.39; 95% CI, −19.10, 4.32, p = 0.22); the results showed that the microsternotomy did not differ significantly from that of the routine approach. Small sternotomy may be an effective and safe substitute for the treatment of the aorta root. Nevertheless, the wide variety of data indicates that larger, well‐designed studies are required to back up the current limited literature evidence showing a benefit in terms of complications like postoperative wound infections or the volume of intraoperative red blood cell transfusion.</description><subject>aortic root replacement</subject><subject>Aortic stenosis</subject><subject>Bias</subject><subject>Cardiovascular disease</subject><subject>Coronary vessels</subject><subject>full sternotomy</subject><subject>Heart</subject><subject>Original</subject><subject>Ostomy</subject><subject>partial sternotomy</subject><subject>Surgery</subject><subject>Systematic review</subject><subject>transfusion</subject><subject>wound infection</subject><issn>1742-4801</issn><issn>1742-481X</issn><issn>1742-481X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kcFu1DAQQCNERUvhwA8gS1zgsK2dOHbMpaqqUlpV4gKCmzXrOOCVYwdPktXe-AQ-gK_jS-plywqQ8MWW5_nNjKconjF6wvI6devVCeOVEg-KIyZ5ueAN-_Rwf6bssHiMuKK0VHUtHxWHlZScClkeFT8uu86akcSO9C64HrzfEBdmQDdbMtuEExITw2zD6GIATyCm0RmSYhxJsoMHY_scJDGQMUHAbsIMEggtGSKOcbAJxq1sHad8Z2I_eGdga8OciQz5mN_ja3JOejvCz2_fIefZoMMnxUEHHu3T-_24-PDm8v3F28Xtu6vri_PbheGUi0VVmVrZrgXTKtNYyZYKJIWGQ7XkwnJa57aFlbUSjKuSlbQWNaPQSblsWSur4-Js5x2mZW9bk8tJ4PWQ8n-kjY7g9N-R4L7oz3HWjDYlF5Rmw8t7Q4pfJ4uj7h0a6z0EGyfUZSMallGpMvriH3QVp5Q7Rl1RRQVtVLMVvtpRJkXEZLt9NYzq7dB1Hrr-NfTMPv-z_D35e8oZON0Ba-ft5v8mff3xZqe8A1UYvCE</recordid><startdate>202402</startdate><enddate>202402</enddate><creator>Chen, Yu</creator><creator>Yu, Wenbo</creator><creator>Jiang, Yue</creator><creator>Gao, Jianfeng</creator><creator>Xie, Dilin</creator><creator>Yu, Junjian</creator><creator>Li, Wentong</creator><creator>Liu, Ziyou</creator><creator>Xiong, Jianxian</creator><general>Blackwell Publishing Ltd</general><general>John Wiley & Sons, Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4768-6949</orcidid><orcidid>https://orcid.org/0009-0002-0488-7289</orcidid></search><sort><creationdate>202402</creationdate><title>Effect of minimally invasive versus conventional aortic root replacement on transfusion and postoperative wound complications in patients: A meta‐analysis</title><author>Chen, Yu ; 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An extensive e‐review of the 4 main databases (PubMed, Cochrane, Web of Science and EMBASE) was carried out to determine all the published trials by July 2023. The search terms used were associated with partial versus full sternotomy and aortic root. This analysis only included the study articles that compared partial and full sternotomy. After excluding articles based on titles or s, selected full‐text articles had reference lists searched for any potential further articles. We analysed a total of 2167 subjects from 10 comparable trials. The minimally invasive aortic root graft in breastbone decreased the duration of hospitalization (MD, −2.58; 95% CI, −3.15, −2.01, p < 0.0001) and intraoperative red blood cell transfusion (MD, −1.27; 95% CI, −2.34, −0.19, p = 0.02). However, there were no significant differences in wound infection (OR, 0.88; 95% CI, 0.16, 4.93, p = 0.88), re‐exploration for bleeding (OR, 0.96; 95% CI, 0.60, 1.53, p = 0.86), intraoperative blood loss (MD, −259.19; 95% CI, −615.11, 96.73, p = 0.15) and operative time (MD, −7.39; 95% CI, −19.10, 4.32, p = 0.22); the results showed that the microsternotomy did not differ significantly from that of the routine approach. Small sternotomy may be an effective and safe substitute for the treatment of the aorta root. Nevertheless, the wide variety of data indicates that larger, well‐designed studies are required to back up the current limited literature evidence showing a benefit in terms of complications like postoperative wound infections or the volume of intraoperative red blood cell transfusion.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>37740672</pmid><doi>10.1111/iwj.14396</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-4768-6949</orcidid><orcidid>https://orcid.org/0009-0002-0488-7289</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Open Access; DOAJ Directory of Open Access Journals; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | aortic root replacement Aortic stenosis Bias Cardiovascular disease Coronary vessels full sternotomy Heart Original Ostomy partial sternotomy Surgery Systematic review transfusion wound infection |
| title | Effect of minimally invasive versus conventional aortic root replacement on transfusion and postoperative wound complications in patients: A meta‐analysis |
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