Thymectomy
Objective
In cases of Myasthenia or tumors of thymus:
• Removal of the thymus gland.
Position
Supine.
Anesthesia
General.
Procedure
1. A sternal splitting incision.
2. Mediastinal fat pad is incised and the thymus gland dissected from it and the underlying pericardium.
3. Vascular attachments are ligated.
4. To avoid the great vessels and the parathyroid glands.
5. Hemostasis is achieved.
6. If either pleural space has been entered a chest tube(s) and sealed drainage unit may be necessary.
Instruments
• Thoracotomy procedure set
• Vascular procedures set
• Minor procedures set
• Tracheostomy tray
• Lebsche sternal knife
• Mallet
• Sternal saw
• Rake retractors
• Basin set
• Suction tubing
• Blades (3) No. 10, (1) No. 15 adult, (2) No. 15 children
• Bone wax
• Drain
• Umbilical tape
• Dissectors
• Chest tube(s) connector, and sealed drainage unit.
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