Complications in Cardiothoracic Surgery: Avoidance and by Alex G. Little MD, Walter H. Merrill MD

By Alex G. Little MD, Walter H. Merrill MD

Drs. Little and Merrill draw on their services regularly thoracic and cardiac surgical procedure to check tracheobronchial operations, lung quantity relief operations, lung transplantation, minimally invasive esophagectomy, pleural operations, revascularizations, myocardial operations, and aortic and nice vessel operations. for every operation, major practitioners supply particular recommendation on what to concentrate on to avoid problems -- and the way to regulate them in the event that they do happen.

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The incision is formed as a crescent or gentle S shape. It is designed to allow elevation of the scapula, exposing the proper intercostal space. Meticulous hemostasis is paramount, especially since the incision divides large muscles. Electrocautery use is appropriate, but the surgeon must avoid excess use with resultant necrotic tissue and increased risk of wound infection. Blood vessels may retract into the muscle and bleed later, so they should be cauterized in a methodical and precise manner.

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