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Hegar dilators in cardiac surgery - a versatile instrument.
Haroon Shakir1, Kathirvel Balasubramani1, Krishnan Ganapathy Subramaniam2
1Department of Pediatric Cardiothoracic Surgery, Institute of Child Health, Madras Medical College, Chennai, India.
Indian Journal of Thoracic and Cardiovascular Surgery
|April 18, 2025
Summary
Hegar's dilators are versatile medical tools. This study highlights their life-saving use in controlling major vessel bleeds and their role in left ventricular assist device (LVAD) insertion, demonstrating broad surgical applications.
Area of Science:
- Medical Devices
- Surgical Instruments
- Cardiovascular Surgery
Background:
- Hegar's dilators are commonly used in gynecology.
- Their application in cardiac surgery is less recognized but significant.
Purpose of the Study:
- To document the versatile applications of Hegar's dilators in cardiac surgery.
- To highlight their critical role in emergency bleeding control and device implantation.
Main Methods:
- Review of clinical utility of Hegar's dilators.
- Documentation of specific surgical techniques involving the instrument.
Main Results:
- Hegar's dilators are effective in controlling emergency major vessel bleeds.
- A unique technique for left ventricular assist device (LVAD) insertion utilizing Hegar's dilators is presented.
- Other documented uses in cardiac surgery demonstrate the instrument's versatility.
Conclusions:
- Hegar's dilators are invaluable, versatile instruments in cardiac surgery.
- Their application extends beyond traditional uses, proving critical in life-saving interventions and complex procedures like LVAD insertion.
