{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T14:50:25Z","timestamp":1782226225442,"version":"3.54.5"},"reference-count":0,"publisher":"Galenos Yayinevi","issue":"4","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turk Gogus Kalp Dama"],"accepted":{"date-parts":[[2024,9,29]]},"published-print":{"date-parts":[[2024,11,1]]},"abstract":"\n Objective:<\/jats:bold>\n This study aimed to present our institutional protocol for enhanced recovery after surgery (ERAS) and its results in patients who underwent totally endoscopic mitral valve surgery (TEMVS).\n <\/jats:p>\n \n Methods:<\/jats:bold>\n One hundred thirteen consecutive patients (63 females, 50 males; mean age: 54.7 years) who underwent TEMVS between 2021 and 2023 were included in this study. The TEMVS was performed using a three-dimensional endoscopic technique. Institutional protocols were as follows:\n (i)<\/jats:italic>\n education on operative course and cessation of smoking and alcohol;\n (ii)<\/jats:italic>\n anemia;\n (iii)<\/jats:italic>\n optimization of blood glucose;\n (iv)<\/jats:italic>\n rehabilitation;\n (v)<\/jats:italic>\n anxiety and analgesia treatment;\n (vi)<\/jats:italic>\n blood conservation techniques such as antifibrinolytic, acute normovolemic hemodilution, miniincision, meticulous surgery by a three-dimensional endoscope;\n (vii)<\/jats:italic>\n postoperative early extubation, prevention of nausea, aggressive analgesia, early mobilization, early removal of tubes;\n (viii)<\/jats:italic>\n restrictive transfusion strategy;\n (ix)<\/jats:italic>\n early discharge.\n <\/jats:p>\n \n Results:<\/jats:bold>\n The rate of intravenous iron therapy for anemia was 26.5%. The repair rate of a degenerative mitral valve was 96.9%. Among all patients, 68.1% did not receive any erythrocyte suspension, and 15.9% had only one unit. The mean extubation time was 5 h. Ninety-six percent of Foley catheters, 87% of all central venous catheters, and 93% of all drainage tubes were removed on the first postoperative day. The rate of respiratory, infectious, and renal complications was 9%, 3.5%, and 3.4%, respectively. The median intensive care unit stay was 1 day, and the median hospitalization time was 5 days. There was one mortality in the early postoperative period.\n <\/jats:p>\n \n Conclusion:<\/jats:bold>\n Totally endoscopic mitral valve surgery provides lesser surgical trauma. By the addition of wellestablished ERAS protocols, less complication, less transfusion, early recovery, and greater patient satisfaction can be achieved.\n <\/jats:p>","DOI":"10.5606\/tgkdc.dergisi.2024.msb-13","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T08:48:54Z","timestamp":1745830134000},"page":"31-31","source":"Crossref","is-referenced-by-count":0,"title":["[MSB-13] Instutional ERAS Applications for Totally Endoscopic Mitral Valve Surgery"],"prefix":"10.4274","volume":"32","author":[{"given":"Serkan","family":"Ertugay","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sedat","family":"Karaca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130rem","family":"Demiray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaprak","family":"Engin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seden","family":"Kocaba\u015f","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanzer","family":"\u00c7alkavur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ba\u011fdat","family":"\u00c7ullu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emine","family":"Sat\u0131r","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"\u00d6zbaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2024,12,31]]},"container-title":["Turkish Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/tgkdc.dergisi.org\/uploads\/pdf\/pdf_TGKDC_3879.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/tgkdc.dergisi.org\/uploads\/pdf\/pdf_TGKDC_3879.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T13:52:31Z","timestamp":1782222751000},"score":1,"resource":{"primary":{"URL":"https:\/\/tjtcvs.org\/articles\/doi\/tgkdc.dergisi.2024.msb-13"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,1]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,11,1]]}},"URL":"https:\/\/doi.org\/10.5606\/tgkdc.dergisi.2024.msb-13","relation":{},"ISSN":["1301-5680","2149-8156"],"issn-type":[{"value":"1301-5680","type":"print"},{"value":"2149-8156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,1]]}}}