Manubriotomy versus Median Sternotomy in Thymectomy for Myasthenia Gravis Cases

Ahmed Mostafa El Saied* and Mohamed Mounir El Saeid

Department of Cardiothoracic Surgery, Mansoura University, Egypt

^*Correspondance to: Ahmed Mostafa El Saied 

 PDF  Full Text DOI: 10.25107/2474-1647.2736

Abstract

Background: Myasthenia Gravis (MG) is an autoimmune disease characterized by varying degrees of weakness of the skeletal muscles of the body and resulting from the production of antibodies against postsynaptic nicotinic acetylcholine receptors at the neuromuscular junction. Aim: To compare between manubriotomy and median sternotomy in thymectomy for myasthenia gravis cases as regards intraoperative and postoperative complications. Patients and Methods: This retrospective prospective comparative study is conducted in cardiothoracic surgery department, Mansoura University Hospital. This study includes forty patients with myasthenia gravis who had thymectomy surgery, and they were classified into two groups. Group I: Included 20 patients with MG and operated upon through manubriotomy, While Group II: Included 20 patients with MG and operated upon through median sternotomy. Results: There is a highly significant difference between occurrence of chest infection in the form of tracheobronchitis and secretions in both groups. Chest infection occurred in one case in manubriotomy group but in 6 cases in median sternotomy group. Conclusion: Manubriotomy is better than median sternotomy for thymectomy in MG patients.

Keywords

Manubriotomy; Median Sternotomy; Thymectomy; Myasthenia Gravis

Cite the article

El Saied AM, El Saeid MM. Manubriotomy versus Median Sternotomy in Thymectomy for Myasthenia Gravis Cases. Clin Surg. 2020; 5: 2736..