Related Experiment Video
Updated: Jul 1, 2026
08:50
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
11.6K
[MSB-13] Instutional ERAS Applications for Totally Endoscopic Mitral Valve Surgery
Serkan Ertugay1, Sedat Karaca1, İrem Demiray1
1Department of Cardiovascular Surgery, Ege University Faculty of Medicine, İzmir, Türkiye.
Turk Gogus Kalp Damar Cerrahisi Dergisi
|May 5, 2025
Summary
Enhanced recovery after surgery (ERAS) protocols combined with totally endoscopic mitral valve surgery (TEMVS) led to fewer complications and faster recovery. This approach improved patient outcomes and satisfaction in TEMVS patients.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Surgery
- Surgical Protocols
Background:
- Totally endoscopic mitral valve surgery (TEMVS) offers reduced surgical trauma.
- Enhanced Recovery After Surgery (ERAS) protocols are established multimodal care pathways.
- Integrating ERAS with TEMVS may optimize patient recovery and outcomes.
Purpose of the Study:
- To present an institutional protocol for ERAS in patients undergoing TEMVS.
- To evaluate the outcomes and efficacy of the implemented ERAS protocol in TEMVS.
Main Methods:
- A cohort of 113 patients undergoing TEMVS between 2021 and 2023 were included.
- The protocol incorporated pre-operative patient education, anemia management, blood glucose optimization, and rehabilitation.
- Blood conservation techniques, early postoperative care (extubation, mobilization, catheter removal), and a restrictive transfusion strategy were employed.
Main Results:
- The mitral valve repair rate was 96.9%.
- Mean extubation time was 5 hours, with high rates of early catheter and drain removal.
- Low complication rates (respiratory 9%, infectious 3.5%, renal 3.4%) and short hospital stays (median 5 days) were observed.
Conclusions:
- The combined approach of TEMVS and ERAS protocols facilitates reduced surgical trauma.
- This strategy leads to decreased complications, minimized transfusion requirements, and accelerated patient recovery.
- The integration of ERAS protocols enhances patient satisfaction following TEMVS.
Related Concept Videos
01:28Endoscopic Procedures III: Video Capsule Endoscopy
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...
01:22Mitral Valve Prolapse II: Assessment and Management
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
01:19Mitral Valve Prolapse III: Nursing Management
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
01:25Mitral Regurgitation III: Medical Management
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
01:22Mitral Stenosis I: Introduction
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
01:26Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...