Wake Forest pediatric heart surgeon to repair heart defect on live Webcast

October 14, 2002

WINSTON-SALEM, N.C. - A pediatric heart surgeon at Brenner Children's Hospital will use video-assisted surgery to repair a heart defect in a one-year-old boy during a live Webcast from Wake Forest University Baptist Medical Center at 5 p.m. Oct. 23.

The outpatient procedure - which requires only three or four small incisions in the chest - replaces major surgery to make the repair. It is offered at only a handful of hospitals in the United States.

Dr. Michael Hines has performed more than 230 of the outpatient procedures at Brenner Children's since 1995. The surgery will close a channel, called the ductus arteriosus, between the two major vessels that leave the heart. During fetal development, the channel allows blood to bypass the lungs - which aren't being used - and go to the rest of the body. After birth, when the baby must use the lungs to take in oxygen, the channel normally closes. In many premature infants, the channel remains open and causes excess fluid in the lungs.

"If the channel is large, it allows excessive blood flow through the lungs and back into the heart unnecessarily and the result is heart failure," said Hines. "If the channel is smaller, then the child is at risk for getting endocarditis, an infection of the ductus or pulmonary artery, and would need to take antibiotics before having a routine procedure such as dental surgery to help prevent this infection as long as the ductus is open."

The defect affects about 1 in 2,000 children in the United States. Often it can be corrected with medication, but surgery is recommended when medication does not close the vessel.

For the outpatient procedure, Hines will insert a tiny camera, called a thoracoscope, and instruments through small incisions in the chest. He will use a metal clip to close the channel. The clip lasts a lifetime and the surgery does not have to be repeated.

"The child spends a few hours in the hospital and then goes home the same day," said Hines.

Hines is the only cardiothoracic surgeon in the Southeast who uses this outpatient procedure to close the defect. At most other hospitals, doctors use an open chest surgery, which is more painful and has a longer recovery time. Patients having the open surgery are also at increased risk of developing scoliosis later in life.

The live Webcast is free and can be viewed at the Wake Forest University Baptist Medical Center Web site, www.wfubmc.edu. Click the "Live Webcast of Medical Procedures," box located in the top left corner of the Web page. You must have "Real Player" to view the Webcast.
-end-


Wake Forest Baptist Medical Center

Related Surgery Articles from Brightsurf:

Decision conflict before cancer surgery correlates with lower activity after surgery
Nearly one-third of cancer patients who decide to undergo surgery for their condition may have second thoughts, and this decision conflict may lead to less favorable treatment outcomes in both the near- and long-term, according to a team of investigators at Massachusetts General Hospital and Ariadne Labs.

Examining association between weight loss before bariatric surgery, risk of death after surgery
Researchers looked at whether a patient's body weight and weight loss before bariatric surgery were associated with risk of death within 30 days after surgery using data from nearly 500,000 patients in the US and Canada.

Guidelines for thyroid surgery published in Annals of Surgery
The first set of comprehensive, evidence-based clinical guidelines for surgical treatment of thyroid disease -- developed by an expert panel assembled by the American Association of Endocrine Surgeons (AAES) -- was published today by Annals of Surgery.

Colorectal surgery patients use fewer opioids, report less pain with enhanced recovery after surgery
Colorectal surgery patients who were a part of an enhanced recovery after surgery (ERAS) program had less pain, while using nearly half as many opioids, according to research being presented at the ANESTHESIOLOGY® 2019 annual meeting.

Video assisted lung surgery reduces complications and hospital stays compared to open surgery
Video-assisted thoracic surgery is associated with lower in-hospital complications and shorter length of stay compared with open surgery among British patients who were diagnosed at an early stage of lung cancer, according to research presented today the IASLC 2019 World Conference on Lung Cancer, hosted by the International Association for the Study of Lung Cancer.

Most deaths related to noncardiac surgery occur after surgery and after discharge from hospital
It's not the operating room that is risky for patients undergoing noncardiac surgery; it's the recovery period.

Study looks at opioid use after knee surgery
A small study looked at whether reducing the number of opioid tablets prescribed after knee surgery would reduce postoperative use and if preoperative opioid-use education would reduce it even more.

Surgery patients are getting older every year
A new BJS (British Journal of Surgery) analysis reveals that people undergoing surgery in England are getting older at a faster rate than the general population.

Children requiring thyroid surgery have better outcomes at high-volume surgery centers
New research recently published in the Journal of Pediatric Surgery found that post-operative success rates of pediatric thyroid patients, particularly children who require a thyroidectomy, correlate with the institution's patient volume.

Do negative public attitudes toward weight loss surgery stop some patients from having surgery?
Most patients who qualify for weight loss surgery don't have the procedure despite its safety and effectiveness.

Read More: Surgery News and Surgery Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.