Cardiovascular Surgery ligation PDA

PDA Ligation

Objective

•   Open chest

•   Suture ligation of patent ductus arteriosus.

Position

Right lateral (Left side up).

Anesthesia

General, endotracheal.

Procedure

   1.  Skin incision No. 3 BP handle with No. 10 blade.

   2.  Separation of muscle, Zerney’s retractor and Morris retractor.

   3.  Rib separation with cautery.

   4.  Finechietto retractor with small blade.

   5.  Exposure of ductus.

   6.  Right angle and silk-2, to tie the ductus.

   7.  Pleural closing 4.0 Atrosilk.

   8.  Chest drainage tube.

   9.  Pericostal and closure 0-catgut on round body needle.

10.  Muscle closing 3.0 Vicryl or 3.0 Dexron.

11.  Dressing with betadine.

Instruments

•   Cardiac set as in pericardiectomy.

•   Bailey Glovers PDA clamps, 2 set     

•   DeBakey angled clamp small, 1 set  In case PDA to be

•   DeBakey angled clamp curved, 1 set       sutured.

•   Cooley clamp, 1 set                            

•   Harken clamp, 1 set

•   Ligature carrier, 1 set

•   Scissors Metzenbaum, 1 set

•   Scissors Pott’s 7", 1 set

•   Debakey needle holder 7", 1 set

•   Bailey needle holder 8", 1 set

•   Retractor, malleable, small, 1 set

•   Debakey dissecting forceps 7", 3 set

•   Morse Andrews suction tip big, 1 set

•   Morse Andrews suction tip small, 1 set

•           Gemini right angle clamp, 1 set.

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