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SCARMICS
Marinus Claesen;
Jessa Hospital, Hasselt, Belgium
BACKGROUND: SCARMICS Cosmetic outcome and patient satisfaction results after minimally invasive cardiac surgeryMETHODS: This prospective study included 80 patients undergoing endoscopic cardiac surgery. The patients were divided in two groups: 40 patients in which a coronary artery bypass graft (CABG) surgery was performed and 40 patients who needed valve surgery (both aortic and Mitral valves). During the follow-up period of 30 days, an assessment was done one day, 14 days and 30 days postoperatively.. Three clinical observers scored the six components from the SCAR scale. Patient itch, pain and satisfaction was also assessed by the patient themselves. A combined SCAR score ranging from 0 to 15 was calculated based on all nine components.
RESULTS: An improvement was seen in scar spread, hypertrophy and atrophy during the 30-day follow-up. Patient itch and pain increased as the days progressed. However, only a low percentage reported pain: 10% of the patients reported pain the first day with an increase to 20% after 30 days. The overall SCAR score remained below three during the whole study period.. Patient satisfaction was high with patients scoring around 7.76 ± 1.92 after CABG and 7.58 ± 2.14 after valve surgery ( the first day postoperatively to an increase in satisfaction of around 8.26 ± 1.34 and 8.55 ± 1.10, for CABG and valves respectively, after 30 days. No wound infections were seen.
CONCLUSIONS: Favorable scar outcomes were reported with a good evolution in healing and scar forming. In general patients who underwent MICS were very satisfied with the cosmetic outcome of their scar. Therefore, MICS shows to be beneficial for the cosmetic outcome of patient including no wound infections.
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