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Prof. Romano discusses the importance of having the conversation surrounding gender disparities in CT surgery and what she hopes to accomplish as STS president.
June 29, 2008
Stainless steel wires are currently used for median sternotomy closure
in cardiac and general thoracic surgery; this method is safe,
effective, and fast. However, the wires can damage and cut bone during
respiratory and chest motion. A novel sternal reinforcement device has
been designed to prevent wires cutting into the bone.
June 17, 2008
Unilateral diaphragmatic agenesis is a rare diagnosis typically made early in infancy and generally associated with other genetic anomalies. We present an unusual case of adult onset progressive shortness of breath and peripartum hepatic herniation into the chest, which on intraoperative exploration revealed diaphragmatic agenesis.
June 16, 2008
Patient Selection
Currently, only patients with preexisting, paroxysmal atrial fibrillation undergoing OPCAB have been offered an adjuvant off-pump Maze procedure.
June 15, 2008
Various diathermy techniques have been proposed to reduce intraoperative blood loss in surgery. In particular, standard bipolar technology is able to coagulate small vessels, with a diameter ranging from 1 mm to 3 mm, but it has some disadvantages, including sticking, charring, and significant thermal spread [1,2].
June 15, 2008
Surgical stapling devices have been used in Thoracic surgery for over 20 years and have proven as reliable as suturing for the bronchus, pulmonary artery, pulmonary vein or lung parenchyma. They have allowed for the widespread application of thoracoscopy to complex procedures within the chest.
May 24, 2008
Operative Steps
Incision
A midline sternotomy is generally employed
A minimal approach using a lower ½ sternotomy may also be employed.
Cardiopulmonary bypass
May 24, 2008
Patients are selected for bilateral closed chest pulmonary vein (PV) isolation, left atrial appendage excision, directed partial cardiac denervation, and PV electrocardiograms (MiniMAZE-Wolf technique), based on the following criteria...