Tuesday, February 28, 2017

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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