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Related Experiment Video

Updated: Dec 5, 2025

A Novel Technique of Rescuing Capsulorhexis Radial Tear-out using a Cystotome
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Retractor in retractor technique.

Levent Çetin1, Edip Temiz1, Erkan Kuralay1

  • 1Lokman Hekim Hospital, Lokman Hekim University, Citipiti Sokak NO:6 Angora Evleri Çayyolu, Çankaya, Ankara, Turkey.

Indian Journal of Thoracic and Cardiovascular Surgery
|October 16, 2020
PubMed
Summary

Obese patients undergoing open heart surgery face challenges with retractor placement. A novel dual-retractor technique facilitates stabilization devices, simplifying off-pump coronary bypass operations in these patients.

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Area of Science:

  • Cardiovascular Surgery
  • Surgical Techniques
  • Obesity in Medicine

Background:

  • Obese patients present unique surgical challenges during open heart procedures.
  • Short neck length and excessive breast tissue complicate retractor and stabilization device placement.
  • Off-pump coronary bypass (OPCAB) surgery is particularly demanding in this patient population.

Purpose of the Study:

  • To present a novel technique for improving retractor and stabilization device placement in obese patients undergoing OPCAB.
  • To facilitate technically demanding cardiac surgeries in patients with anatomical challenges.

Main Methods:

  • A dual-retractor system was employed during OPCAB procedures.
  • The first retractor was positioned at the sternal edges.
Keywords:
Off-pumpRetractorShort neck

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  • A second retractor was placed within the first, creating additional height and a stable platform.

    • Main Results:

    • The dual-retractor maneuver successfully created extra height.
    • This facilitated easier placement of stabilization devices.
    • The technique addressed the difficulties associated with obese patient anatomy.

    Conclusions:

    • The described dual-retractor technique simplifies OPCAB in obese patients.
    • This approach enhances surgical feasibility by overcoming anatomical limitations.
    • This maneuver is a valuable addition for complex cardiac surgeries in challenging patient populations.