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Simple Tool for Bleeding Control During Minimally Invasive and Robotic Cardiac Surgery
Zeynep Sıla Özcan1, Gökhan Arslanhan1, Sahin Senay1
1Cardiovascular Surgery, Acıbadem Mehmet Ali Aydınlar University School of Medicine, Istanbul, Türkiye.
Insights
Achieving hemostasis in minimally invasive robotic cardiac surgery is crucial. A surgical sealant effectively achieved complete hemostasis during robotic mitral repair, avoiding the need for traditional surgical techniques.
Area of Science:
- Cardiac Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Complete hemostasis is vital for successful cardiac surgery.
- Minimally invasive and robotic cardiac surgery present unique challenges for bleeding control.
- Major bleeding is a primary reason for converting to sternotomy during minimally invasive procedures.
Purpose of the Study:
- To present a case of achieving hemostasis in minimally invasive robotic mitral repair.
- To demonstrate the efficacy of a surgical sealant in this context.
- To highlight an alternative to traditional surgical techniques for bleeding control.
Main Methods:
- A minimally invasive robotic mitral repair procedure was performed.
- Hemostasis was achieved using a surgical sealant.
- Traditional surgical bleeding control techniques were not employed.
Main Results:
- Complete hemostasis was successfully achieved during the procedure.
- The use of a surgical sealant proved effective in controlling bleeding.
- Conversion to sternotomy was avoided.
Conclusions:
- Surgical sealants can be a valuable tool for achieving hemostasis in complex cardiac procedures.
- This approach offers a viable alternative to surgical techniques in minimally invasive robotic cardiac surgery.
- Effective bleeding management is critical for the success of robotic mitral repair.
Abstract:
Achievement of complete hemostasis is a key element to success in cardiac surgery. Bleeding control is of utmost importance in minimally invasive and robotic cardiac surgery to avoid conversion, as major bleeding is one of the most common indications for conversion to sternotomy. Bleeding control with surgical techniques can be technically more difficult in robotic and minimally invasive cardiac surgery as access to the bleeding area is limited and it is harder to intervene compared with open cardiac surgery with sternotomy. We present in this case the achievement of hemostasis in a minimally invasive robotic mitral repair, without the employment of surgical techniques and with the aid of a surgical sealant.
