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A Simple and Effective Technique for Anatomical Approximation of the Upper Pericardium Using Hemostatic Clips

Mubassher Husain1, Metesh Nalin Acharya, Ian Cummings

  • 1From the Department of Cardiac Surgery, Harefield Hospital, Harefield, Middlesex, United Kingdom.

Innovations (Philadelphia, Pa.)
|December 7, 2016
PubMed

Insights

Closing the pericardium protects the heart and bypass grafts from injury. A new technique uses hemostatic clips on thymic fascia for simple, tension-free pericardial approximation, aiding future surgeries.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Surgical Techniques

Background:

  • Pericardial closure is crucial for protecting cardiac structures and preventing complications.
  • Sternal dehiscence can lead to injury of bypass grafts and great vessels.
  • Pericardial adhesions can complicate repeat sternotomies.

Purpose of the Study:

  • To describe a novel, simple, and effective method for pericardial closure.
  • To achieve tension-free approximation of the upper pericardium.
  • To reduce the risk of injury and facilitate future surgical access.

Main Methods:

  • A technique involving the application of small hemostatic clips is described.
  • Clips are applied to the preserved thymic fascia overlying the pericardium.
  • This method facilitates tension-free approximation of the upper pericardium.

Main Results:

  • The described technique provides a simple and reproducible approach to pericardial closure.
  • It allows for tension-free approximation, enhancing safety.
  • The method aims to minimize pericardial adhesions and ease resternotomy.

Conclusions:

  • This hemostatic clip technique offers an effective solution for pericardial closure.
  • It ensures protection of cardiac structures and simplifies future surgical interventions.
  • The method is valuable for preventing sternal dehiscence complications and adhesions.

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