Authors : Michael Halim; Mariam AlSayegh; Chidinma Angela Umenne; Priyanka Vadithya; Swetha Vishnu Panicker; Kasali Abayomi Israel; Alice Halim
Volume/Issue : Volume 6 - 2021, Issue 2 - February
Google Scholar : http://bitly.ws/9nMw
Scribd : https://bit.ly/3dRRcK0
Different surgical procedures apply varying
principles and are conducted under certain
circumstances. This research focused on the difference
between two surgical procedures, that is, Minimally
Invasive Surgery (MIS) and Conventional Surgery
(CVS) on the treatment of degenerative mitral valve
diseases. The mitral valve, also known as the bicuspid
valve, is located between the left atrium and ventricle of
the heart. When the functions of this valve are impaired,
it results in mitral regurgitation and mitral valve
stenosis. Minimally Invasive Surgery (MIS) refers to any
surgical procedure that involves very small incisions
rather than large openings. On the other hand,
Conventional Surgery (CVS) refers to a surgical
procedure that is specialized and involves large openings
with the use of a scalpel. These two procedures are used
to treat degenerative mitral valve diseases, and their
outcomes are not the same in terms of effectiveness thus
the main objective of this research.
The research process took off by seeking relevant
data and academic literature on the same. Since the
research involved a real client, who is currently working
as a cardiothoracic surgeon in Victoria Blackpool
Hospital and as a professor from the University of
Salford, he was briefed on the research and all our
intentions. Each member of the group also came up with
a write-up on the literature review on cardiac function.
Having all the background information about the two
surgical procedures after an intense research for almost
3 months, we managed to convince our client to send us
the medical data collected from his patients over a span
of almost three decades – from 1990s to 2020. The data
was shared among all members and then analysed using
Microsoft Excel. The propensity matching score is more
accurate in the analysis, nonetheless, it is much more
complicated compared to Microsoft Excel and the time
limit could not allow us to perform it. Suffice to say, we
hope to perform the propensity matching score on the
patient data, under the supervision of a biostatistician,
and obtain a much better and accurate result in the
future.
From the analysis of data, it was concluded that
minimally invasive operations are more ideal as
compared to conventional surgeries in various
circumstances. On the parameters we identified, that is,
blood loss that leads to the need for transfusion,
cardiogenic shock, multiorgan system failure, and the
risk for death, the MIS proved to have more merits
compared to CVS.
Keywords : Minimally Invasive Surgery (MIS), Conventional Surgery (CVS), mitral valve, medical data, disease, degenerative, surgical procedures, medical data.