Design and application of new type thoracic vest in totally thoracoscopic cardiac surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LAN Huai ¹ ,  WANG Zhenlong ¹ , LUO Na ¹ , ZHANG Yong ¹ , WANG Yang ^1,2 , YANG Wenju ¹

1. Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, 110016, P.R.China;
2. Liaoning University of Traditional Chinese Medicine, Shenyang, 110847, P.R.China;

Corresponding?author：

WANG Zhenlong, Email: wangzl1976@sina.com

Keywords：

Thoracoscope; minimally invasive cardiac surgery; new type thoracic vest

DOI：

10.7507/1007-4848.202007032

Video：

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Objective To introduce a new type thoracic vest designed according to the incision characteristics of female patients undergoing totally thoracoscopic cardiac surgery.Methods Sixty-one female patients undergoing totally thoracoscopic cardiac surgery from February 2019 to May 2020 in our department were enrolled. All female patients had hypermastia and (or) mastoptosis which covered the incision. They were randomly divided into a research group (group A, n=32) and a control group (group B, n=29). The group A used the new type thoracic vest, while the group B used the traditional single shoulder belt. The degree of satisfaction, visual analogue scale (VAS) score 24 hours after the thoracic drainage tube removed, the average time-consuming of dressing change, dressing frequency and the incision infection rate were compared between two groups.Results The degree of satisfaction in the group A was higher than that of the group B (P<0.001). The VAS scores of pain, average time-consuming of dressing change and dressing frequency in the group A were less or lower than those of the group B (P<0.001). There was no statistical difference in the incision infection rate between the two groups (P=0.214), but incision infection rate of the group A was lower than that of the group B.Conclusion The new type thoracic vest seems to be more beneficial for patients than traditional single shoulder belt. It is easy to use, increases the psychological satisfaction of patients, reduces the pain and the incision infection and improves work efficiency, which is worthy of clinical application.

Citation： LAN Huai, WANG Zhenlong, LUO Na, ZHANG Yong, WANG Yang, YANG Wenju. Design and application of new type thoracic vest in totally thoracoscopic cardiac surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(7): 837-840. doi: 10.7507/1007-4848.202007032 Copy

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8.	屈正, 劉曉崢, 徐學增, 等. 應用完全胸腔鏡射頻消融技術治療心房顫動的初步成果. 中國心血管病研究, 2011, 9(8): 567-568.
9.	俞世強, 徐學增, 易蔚, 等. 全胸腔鏡微創心臟手術單中心臨床經驗. 中國體外循環雜志, 2016, 14(2): 87-90.
10.	Parkin-Smith GF, Norman IJ, Briggs E, et al. A structured protocol of evidence-based conservative care compared with usual care for acute non-specific low back pain: A randomized clinical trial. Arch Phys Med Rehabi, 2012, 93(1): 11-20.
11.	Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ, 2001, 322(7284): 473-476.

1. 蘭懷, 程云閣, 賈寶成, 等. 全胸腔鏡下室間隔缺損修補手術單中心臨床分析. 中國胸心血管外科臨床雜志, 2020, 27(2): 164-167.
2. 蘭懷, 程云閣, 賈寶成, 等. 全胸腔鏡下房間隔缺損修補手術單中心臨床研究. 中國胸心血管外科臨床雜志, 2020, 27(3): 264-267.
3. 徐學增, 易蔚, 李華, 等. 單中心全胸腔鏡微創手術治療先天性心臟病2543例臨床分析. 中華外科雜志, 2016, 54(8): 591-595.
4. Ma ZS, Dong MF, Yin QY, et al. Totally thoracoscopic surgical repair of atrial septal defect without robotic assistance: A single-center experience. J Thorac Cardiovasc Surg, 2011, 141(1): 1380-1383.
5. 蘭懷, 程云閣, 賈寶成, 等. 完全胸腔鏡下二尖瓣置換術634例臨床分析. 中華外科雜志, 2016, 54(8): 609-612.
6. 徐學增, 石廣永, 陳亞武, 等. 全胸腔鏡下心房黏液瘤摘除術44例. 中華胸心血管外科雜志, 2012, 28(4): 205-206.
7. 程云閣, 肖明第, 賈寶成, 等. 全胸腔鏡左心房后入路射頻迷宮手術治療32例孤立性心房纖顫. 中華胸心血管外科雜志, 2012, 28(4): 203-204.
8. 屈正, 劉曉崢, 徐學增, 等. 應用完全胸腔鏡射頻消融技術治療心房顫動的初步成果. 中國心血管病研究, 2011, 9(8): 567-568.
9. 俞世強, 徐學增, 易蔚, 等. 全胸腔鏡微創心臟手術單中心臨床經驗. 中國體外循環雜志, 2016, 14(2): 87-90.
10. Parkin-Smith GF, Norman IJ, Briggs E, et al. A structured protocol of evidence-based conservative care compared with usual care for acute non-specific low back pain: A randomized clinical trial. Arch Phys Med Rehabi, 2012, 93(1): 11-20.
11. Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ, 2001, 322(7284): 473-476.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Design and application of new type thoracic vest in totally thoracoscopic cardiac surgery

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