Surgical procedure for atrial septal defect via axillary incision

Aug 14, 2023 Source: Cainiu Health

Dr. Li Feng

Introduction

Transaxillary incision surgery for atrial septal defect refers to a surgical repair of an atrial septal defect performed through an incision under the armpit. It is a relatively new treatment method characterized by minimal invasiveness, better cosmetic outcomes, and faster recovery. If this surgery is required, it is recommended to go to a正规 hospital and have the procedure performed under the guidance of a qualified physician to reduce surgical risks.

In general, atrial septal defect repair via an axillary incision refers to a surgical procedure performed through an incision under the armpit, primarily suitable for patients whose atrial septal defects are not particularly large. The specific steps of the procedure are as follows:

1. After administering general anesthesia, the patient is placed in a supine position, and the surgical area is routinely disinfected and draped.

2. A approximately 4 cm incision is made beneath the right armpit. The skin and subcutaneous tissues are sequentially incised, accessing the thoracic cavity through the fourth intercostal space to gradually expose the surface of the heart.

3. A cardiopulmonary bypass machine is connected to establish extracorporeal circulation, allowing temporary interruption of cardiac blood flow and providing a still surgical field.

4. Under support of extracorporeal circulation, a prosthetic patch is used to repair the atrial septal defect, thereby restoring normal blood flow between the left and right atria.

5. After completion of the repair, the heart's autonomous circulation is gradually restored, and the cardiopulmonary bypass device is removed.

6. The incision is sutured, and the patient’s vital signs are closely monitored to ensure stable recovery.

Performing atrial septal defect repair via an axillary incision is a relatively new surgical approach, offering advantages such as minimal invasiveness, improved cosmetic outcomes, and faster recovery. Patients considering this procedure should seek treatment at a reputable hospital and undergo surgery under the guidance of qualified medical professionals to minimize surgical risks.

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