Evaluation of the Cosmetic Outcomes of Totally Endoscopic Cardiac Surgery (SCARMICS)

Jessa Hospital

Status: Completed

Conditions: Minimally Invasive Cardiac Surgery; Scar

Treatments: Other: Numerical rating scale (NRS); Other: Scar Cosmesis Assessment and Rating (SCAR) scale

Study type: Observational

Funder types: Other

Identifiers

NCT05527756

f/2022/121

Details and patient eligibility

About

Totally endoscopic cardiac surgery (TECS) is considered to have aesthetic advantages over conventional median sternotomy due to the smaller incisions. Most research regarding TECS focuses on clinical outcomes instead of cosmetic consequences. Following surgery, postoperative scarring is unavoidable and may negatively affect the patient's physical and emotional well-being. Therefore, this study aims to investigate the cosmesis after TECS.

Full description

Totally endoscopic cardiac surgery (TECS) is considered to have aesthetic advantages over conventional median sternotomy due to the smaller incisions. Most research regarding TECS focuses on clinical outcomes instead of cosmetic consequences. Following surgery, postoperative scarring is unavoidable and may negatively affect the patient's physical and emotional well-being. One previous study compared median sternotomy cardiac surgery and TECS in terms of the long-term cosmetic appearance of postoperative scars. They concluded that scars were considered more satisfactory, less painful, and itchy in the TECS group in the Chinese population. To our knowledge, this is the only study published regarding cosmetic consequences after TECS. Therefore, this study aims to investigate the cosmesis after TECS.

Enrollment: 80 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients older than 18 years old
• Patients who can give their informed consent
• Patients who speak Dutch or French

Exclusion criteria

• Patients that previously underwent cardiac surgery
• Patients that will undergo a combination of cardiac surgeries

Trial design

80 participants in 2 patient groups

Totally endoscopic aortic/mitral valve replacement

Description:

Study procedures include the Scar Cosmesis Assessment and Rating (SCAR) scale and numerical rating scale (NRS) questionnaire at one, 14 and 30 days after totally endoscopic aortic/mitral valve replacement. Additionally, a photo of the incisions will be taken at these time points.

Treatment:

Other: Numerical rating scale (NRS)

Other: Scar Cosmesis Assessment and Rating (SCAR) scale

Totally endoscopic coronary artery bypass grafting

Description:

Study procedures include the Scar Cosmesis Assessment and Rating (SCAR) scale and numerical rating scale (NRS) questionnaire at one, 14 and 30 days after totally endoscopic coronary artery bypass grafting. Additionally, a photo of the incisions will be taken at these time points.

Treatment:

Other: Numerical rating scale (NRS)

Other: Scar Cosmesis Assessment and Rating (SCAR) scale