Mini-Maze Procedure -- Minimally Invasive Surgery
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Reasons for Procedure
- Anesthesia-related problems
- The need to switch to an open procedure
- Damage to other organs
- Previous chest surgery
- Use of certain medicines
What to Expect
Prior to Procedure
Talk to your doctor about your medicines, including over-the-counter medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Anti-inflammatory drugs (eg, aspirin )
- Blood thinners, such as clopidogrel (Plavix), warfarin (Coumadin), or ticlopidine (Ticlid)
- Arrange for someone to drive you home from the hospital. Also, have someone help you at home.
- Eat a light meal the night before. Do not eat or drink anything after midnight.
- If you smoke, it is best to stop.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Fluids and pain medicine will be given through an IV line. You may be given medicine to help control the build-up of fluids.
- Efforts will be made to get you out of bed and walking as soon as possible.
- You will be asked to do deep breathing and coughing exercises. This will help reduce the risk of fluid build-up in your lungs.
- Rest when needed. At first, it is normal to feel more tired than usual.
- Walk daily. Activity will help with the healing process.
- Take the pain medicine as directed. Some pain medicine can cause constipation. To avoid this problem:
- Keep the incision area clean and dry.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Limit certain activities (eg, driving, working, doing strenuous exercise) until your doctor has agreed it is safe.
Call Your Doctor
- Cough or shortness of breath
- New chest pain
- Signs of infection, including fever and chills
- Palpitations or rapid heart rate
- Redness, swelling, increasing pain, excessive bleeding, or discharge from an incision site
- Nausea and/or vomiting that you cannot control with the medicines you were given after surgery, or which persist for more than two days after discharge from the hospital
- Pain that you cannot control with the medicines you have been given
- Coughing up blood
- Headache or feeling faint
- Inability to urinate
- Pain, burning, urgency, frequency of urination, or persistent bleeding in the urine
- Pain and/or swelling in your feet, calves, or legs
- Other worrisome symptoms
- Sudden chest pain
- Sudden shortness of breath
- Problems with vision or speaking
- Numbness or weakness on one side of your body
Heart Rhythm Society http://www.hrsonline.org/
Society of Thoracic doctors http://www.sts.org/
Canadian Cardiovascular Society http://www.ccs.ca/home/index%5Fe.aspx/
Health Canada http://www.hc-sc.gc.ca/index%5Fe.html/
Maze procedure for treatment of atrial fibrillation. University of Southern California, Cardiothoracic Surgery website. Available at: http://www.cts.usc.edu/mazeprocedure.html . Accessed March 12, 2010.
A patient’s guide to heart surgery. University of Southern California, Cardiothoracic Surgery website. Available at: http://www.cts.usc.edu/hpg-index.html . March 12, 2010.
Patient information: the maze procedure. Society of Thoracic Surgeons website. Available at: http://www.sts.org/doc/4511 . Accessed March 3, 2010.
Treatments for atrial fibrillation. Beth Israel Deaconess Medical Center website. Available at: http://www.bidmc.org/CentersandDepartments/Departments/Surgery/CardiacSurgery/DiseasesandConditions/AtrialFibrillation/Treatments.aspx . Accessed March 3, 2010
Wood D. Atrial fibrillation. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/ . Updated September 2009. Accessed March 12, 2010.
- Reviewer: Michael J. Fucci, DO
- Review Date: 06/2013 -
- Update Date: 06/20/2013 -