Clinical outcome, pain perception and activities of daily life after minimally invasive coronary artery bypass grafting.

Objective: Minimally invasive direct coronary artery bypass (MIDCAB) for revascularization of the left anterior descending artery has become a routine operation. We present our clinical experiences with beating heart MIDCAB surgery performed through partial lower sternotomy (PLS) and retrospectively compare the results of pain perception as well as activities of daily life (ADL) with the conventional full sternotomy.

Methods: From January 2009 to August 2012, 197 patients underwent MIDCAB using modified PLS at our hospital.

Risk factors for postoperative ileus.

Purpose: This study aimed to examine extended postoperative ileus and its risk factors in patients who have undergone abdominal surgery, and discuss the techniques of prevention and management thereof the light of related risk factors connected with our study.

Methods: This prospective study involved 103 patients who had undergone abdominal surgery. The effects of age, gender, diagnosis, surgical operation conducted, excessive small intestine manipulation, opioid analgesic usage time, and systemic inflammation on the time required for the restoration of intestinal motility were investigated.

Closed chest resection of left ventricular myxoma through thoracoscopic assistance.

We performed a totally endoscopic resection of a left ventricular myxoma using the Heart Port Endoclamp System and conventional endoscopic instruments in a young male patient. It is a feasible and safe procedure with good clinical results and an excellent cosmetic outcome.

Is transdermal nitroglycerin application effective in preventing and healing flap ischaemia after modified radical mastectomy?

Objective: We evaluated the efficacy of local nitroglycerin application in preventing and treating flap complications after modified radical mastectomy in a large patient cohort.

Patients And Methods: Between 1993 and 2008, 6426 patients undergoing surgery for stage II breast cancer were enrolled in this prospective study. Patients were randomised into treatment and control groups.