From the Research
The typical length of operating room (OR) time for non-invasive mitral valve repair surgery is approximately 2 to 4 hours, with recent studies suggesting that the procedure can be performed efficiently with minimal complications 1. This duration can vary based on several factors including the specific technique used, the patient's anatomy, the complexity of the repair needed, and the surgeon's experience.
- Minimally invasive approaches, such as robotic-assisted or thoracoscopic procedures, may sometimes take longer than traditional open surgeries due to the technical setup required, but they generally result in shorter recovery times for patients.
- The total time in the operating room also includes anesthesia induction (about 30-45 minutes), surgical preparation, the actual repair procedure, and immediate post-operative monitoring before transfer to recovery. Some studies have shown that the use of local anesthesia with or without sedation can reduce the necessity for ICU/IMC stay, with no significant difference in procedural success or complication rates 2. However, the choice of anesthesia and the overall OR time may depend on the specific procedure and the patient's condition, with some studies suggesting that general anesthesia may still be necessary in certain cases 3, 4. Recent advances in technology, such as the development of new devices like the AltaValve, may also impact the OR time and overall outcome of the procedure 1. It's worth noting that while the OR time is an important consideration, the primary focus should always be on ensuring the best possible outcome for the patient in terms of morbidity, mortality, and quality of life.