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OBJECTIVE: The aim of this study was to justify and analyze the result of ASD closure surgery by sub-xiphoid ( 3cm skin incision )approach as day care procedure.
METHODS:All of the 35 ASD patients were evaluated on out patient basis, the type of ASD was confirmed. The patients were advised to get admit NPO on early hours of the posted day of surgery (NPO for last 6 hours).They were prepared and taken for surgery in the morning. ASD closure surgery was performed by our technique of sub-xiphoid ( 3cm skin incision )approach. The accuracy of ASD closure was confirmed using TEE before shifting the patient to ICU. The patients were extubated with in 1 - 2 hours in ICU. Later in the day the ICD is removed and a routine post ICD removal chest x-ray is done. After 2 hrs the patient is shifted to the ward. Next morning a post op ECHO is done and patients are discharged by noon. 1 week later the patients are followed up as out patients.
RESULTS: The age group of the patients was from 3 yrs to 18 yrs. the weight of the patients was from 14kg to 42kg. The sub-xiphoid approach skin incision was 2cm to 3cm. No inotrope was required and no rhythmic disturbances or neurological complication were encountered.
CONCLUSIONS: The closure of ASD can be performed through a sub-xiphoid approach as day care procedure , conferring a good cosmetic result without compromising the safety or accuracy of the repair