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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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.
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6.	徐学增, 石广永, 陈亚武, 等. 全胸腔镜下心房黏液瘤摘除术44例. 中华胸心血管外科杂志, 2012, 28(4): 205-206.
7.	程云阁, 肖明第, 贾宝成, 等. 全胸腔镜左心房后入路射频迷宫手术治疗32例孤立性心房纤颤. 中华胸心血管外科杂志, 2012, 28(4): 203-204.
8.	屈正, 刘晓峥, 徐学增, 等. 应用完全胸腔镜射频消融技术治疗心房颤动的初步成果. 中国心血管病研究, 2011, 9(8): 567-568.
9.	俞世强, 徐学增, 易蔚, 等. 全胸腔镜微创心脏手术单中心临床经验. 中国体外循环杂志, 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.
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1. 兰怀, 程云阁, 贾宝成, 等. 全胸腔镜下室间隔缺损修补手术单中心临床分析. 中国胸心血管外科临床杂志, 2020, 27(2): 164-167.
2. 兰怀, 程云阁, 贾宝成, 等. 全胸腔镜下房间隔缺损修补手术单中心临床研究. 中国胸心血管外科临床杂志, 2020, 27(3): 264-267.
3. 徐学增, 易蔚, 李华, 等. 单中心全胸腔镜微创手术治疗先天性心脏病2543例临床分析. 中华外科杂志, 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. 兰怀, 程云阁, 贾宝成, 等. 完全胸腔镜下二尖瓣置换术634例临床分析. 中华外科杂志, 2016, 54(8): 609-612.
6. 徐学增, 石广永, 陈亚武, 等. 全胸腔镜下心房黏液瘤摘除术44例. 中华胸心血管外科杂志, 2012, 28(4): 205-206.
7. 程云阁, 肖明第, 贾宝成, 等. 全胸腔镜左心房后入路射频迷宫手术治疗32例孤立性心房纤颤. 中华胸心血管外科杂志, 2012, 28(4): 203-204.
8. 屈正, 刘晓峥, 徐学增, 等. 应用完全胸腔镜射频消融技术治疗心房颤动的初步成果. 中国心血管病研究, 2011, 9(8): 567-568.
9. 俞世强, 徐学增, 易蔚, 等. 全胸腔镜微创心脏手术单中心临床经验. 中国体外循环杂志, 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.

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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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