使用超声骨刀为嵌入钙化导管的患者进行简单安全的胸骨切开术。

Q4 Medicine
Mohammed Usmaan Siddiqi, Umar Siddiqi, Narutoshi Hibino
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引用次数: 0

摘要

随着成人先心病患者的增多,高危多发胸骨切开术的数量也在不断增加。钙化导管嵌入胸骨或附着于胸骨的大血管是一个特别具有挑战性的病例。本视频教程介绍一种简单安全的使用超声骨刀治疗此类高危患者的重做胸骨切开术。超声骨手术刀有一个纵向摆动的窄刀片。由于刀片的运动幅度比普通锯小得多,速度也快得多,因此当超声骨手术刀放在骨头上时,可以进行精确的切割,并且通过快速触摸可以将软组织解剖出来。当胸骨之间的层被识别时,狭窄的刀片可以在导管上刮开胸骨。缺乏对超声骨手术刀特性的了解往往限制了它的潜力。本视频教程演示了精细操作刀片的关键技术:“保持快速触摸剃须”,以有效和安全使用超声骨手术刀。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Simple and safe redo sternotomy technique using the ultrasonic bone scalpel for patients with an embedded calcified conduit.

With the increase of patients with adult congenital heart disease, the number of high-risk multiple redo sternotomies is increasing. Calcified conduit embedded in the sternum or large vessels attached to the sternum presents an especially challenging case. This video tutorial presents a simple safe redo sternotomy technique using an ultrasonic bone scalpel in such high-risk patients. The ultrasonic bone scalpel has a narrow cutting blade that oscillates longitudinally. Because the movements of the blade have a much smaller amplitude and faster speed than those of the usual saw, making a precise cut is possible when holding the ultrasonic bone scalpel onto the bone, and soft tissue can be dissected out with a quick touch. A narrow blade can shave the sternum on the conduit when the layer between the sternum is identified. A lack of understanding of the character of the ultrasonic bone scalpel often limits its potential. This video tutorial demonstrates the key techniques of the fine manipulation of the blade: "hold-quick touch-shave" for the effective and safe use of an ultrasonic bone scalpel.

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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
60
期刊介绍: The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.
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