IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-4-18742 Original Research Paper Less Invasive Cardiac Surgery using Conventional Instruments: an Initial Experience Raja Lahiri Dr. April 2019 8 4 01 02 ABSTRACT

We have witnessed a widespread popularity and development of various techniques of minimally invasive cardiac surgery. However, the most important hurdle in MICS being commonplace is the need of specialised equipments and cannulae. We conducted a study, showing the effectiveness of upper and lower partial sternotomy as a less invasive surgical technique for various common surgical procedures utilising regular instruments meant for a standard full sternotomy. A total of 146 patients underwent cardiac surgery through partial sternotomy during the study period. Various surgeries viz Aortic and Mitral valve replacement, closure of ASD and VSD alongwith excision of Myxomas were done using partial sternotomies. In all patients, direct cannulation of Aorta and vena cavae was employed. None of the patients suffered from wound complication or sternal instability. Partial sternotomy thus can be utilised routinely as a safe procedure in various cardiac surgeries without the need of specialised instruments and cannulae.