Harvest of the right gastroepiploic artery graft using a novel hybrid ultrasonic/bipolar energy device.
THUNDERBEAT
coronary artery bypass grafting
gastroepiploic artery
harvesting technique
hybrid ultrasonic/bipolar energy device
Journal
Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
pubmed:
17
3
2020
medline:
6
10
2020
entrez:
17
3
2020
Statut:
ppublish
Résumé
The right gastroepiploic artery (RGEA) is a useful in-situ graft, and skeletonization is effective to prevent spasm and achieve good patency. To harvest the skeletonized RGEA easily, ultrasonic scalpel has been widely used, but the tip shape of conventional ultrasonic device was not optimal for this procedure. Recently, a novel hybrid ultrasonic/bipolar energy device (THUNDERBEAT Open Fine Jaw [TOFJ]) has been developed and is widely used in general surgery. The operator holds forceps in left hand and TOFJ in right hand, incises the anterior layer of the omentum, and extends the incision distally along the RGEA. The side branches and satellite veins were sealed and cut. Because the tip of the TOFJ is well-designed to easily grasp and peel off the tissue, there is no need to change instruments throughout the procedure. After the dissection was advanced distally, the proximal side was subsequently dissected. This novel device is useful for harvesting skeletonized RGEA.
Sections du résumé
BACKGROUND
BACKGROUND
The right gastroepiploic artery (RGEA) is a useful in-situ graft, and skeletonization is effective to prevent spasm and achieve good patency. To harvest the skeletonized RGEA easily, ultrasonic scalpel has been widely used, but the tip shape of conventional ultrasonic device was not optimal for this procedure. Recently, a novel hybrid ultrasonic/bipolar energy device (THUNDERBEAT Open Fine Jaw [TOFJ]) has been developed and is widely used in general surgery.
SURGICAL TECHNIQUE
METHODS
The operator holds forceps in left hand and TOFJ in right hand, incises the anterior layer of the omentum, and extends the incision distally along the RGEA. The side branches and satellite veins were sealed and cut. Because the tip of the TOFJ is well-designed to easily grasp and peel off the tissue, there is no need to change instruments throughout the procedure. After the dissection was advanced distally, the proximal side was subsequently dissected.
CONCLUSIONS
CONCLUSIONS
This novel device is useful for harvesting skeletonized RGEA.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1082-1084Informations de copyright
© 2020 Wiley Periodicals, Inc.
Références
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