Related Experiment Video
Updated: Jun 2, 2026
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Traction suture modification of the Cosgrove hemisternotomy technique
Aristotle D Protopapas1, Mohamed Amrani
1Harefield Hospital, Middlesex, United Kingdom. Aristotelis.Protopapas02@Imperial.ac.uk
Background And Aim Of The Study:
Minimal access is an integral part of cardiac surgery. A personal customization is presented of the Cosgrove technique of hemisternotomy for aortic valve surgery.
Methods:
The procedure involves an additional 2 cm right anterior intercostal incision, through which a Roberts clamp is used to tension a suture from the right pericardial flap, thus optimizing exposure of the right atrium. The incision is used later to insert a pericardial drain.
Results:
The modified Cosgrove technique was applied to 66 patients (43 men, 23 women; mean age 60.47 years; median age 64 years; range: 29-85 years) between January 2005 and March 2010. During the postoperative period, no conversion, tamponade or fatality has been observed among patients.
Conclusion:
This traction suture represents a simple and safe means of optimizing exposure of the right atrium, which is problematic in this type of operation.