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FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOTHE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Periodicità: Bimestrale

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 1998 Agosto;39(4):523-4

THORACIC PAPERS 

 NEW TECHNOLOGIES

A new ­device for tho­rac­ic ­access: the Tho­ra­co Hold­er

Iwa­sa­ki M., Mai­ta­ni F., Nishiu­mi N., Kaga K., Inoue H.

From the First Department of Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan

Background. We ­present a nov­el inven­tion (Thoraco Holder; Fuji Systems Corporation, Tokyo, Japan) for tho­rac­os­cop­ic sur­gery. Made of sil­i­cone, auto­mat­i­cal­ly ­stops bleed­ing ­from the ­chest ­wall, increas­es ­range of ­motion for manip­u­la­tion, and decreas­es post­op­er­a­tive ­pain.
Methods. Under gen­er­al anes­the­sia ­using the Univent ­tube (Fuji Systems Corporation, Tokyo, Japan), two Thoraco Holders ­were ­used in ­each of 300 tho­rac­os­cop­ic pro­ce­dures for ­lung can­cer, med­i­as­ti­nal ­tumor, pneu­moth­o­rax, ­chest trau­ma, and emphy­se­ma, ­most ­using the Two Windows Method).
Results. No ­patient expe­ri­enced ­more ­than 10 mL of bleed­ing ­from the ­chest ­wall. In addi­tion, anal­ge­sics ­were not need­ed by any ­patient for ­over 1 ­week. No ­patient expe­ri­enced trou­ble ­caused by the Thoraco Holder.
Conclusions. The Thoraco Holder is ­made of sil­i­cone. Silicone rub­ber caus­es ­less ­pain post­op­er­a­tive­ly. The sil­i­cone ­cuff (bal­loon) caus­es ­less bleed­ing ­from the ­chest ­wall. This Thoraco Holder is use­ful ­access for vid­eo assist­ed tho­rac­os­cop­ic sur­gery.

lingua: Inglese


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