Tuesday, March 21, 2017

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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