Cardio-vascular Surgery Pericardectomy

Pericardiectomy

Objective

•   To open chest

•   To excise pericardium

•   To relieve constriction of the heart.

Anesthesia

General, endotracheal.

Position

•   Supine or right semilateral

Procedure

   1.  Cleaning and draping.

   2.  Incision midsternotomy or thoracotomy.

   3.  Skin incision with knife, sponge and cutting cautery.

   4.  Separation of the pericardium with Rt. angle and cautery (cutting) and gauze piece.

   5.  Excise the pericardium.

   6.  Chest drainage tube.

   7.  Pericostal closure sponge and instruments count.

   8.  Muscle closure with 1-0 Vicryl or Dexron.

            9.         Subcutaneous 2-0 Vicryl or Dexron.

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