CARDIAC SURGERY

Open Collis Gastroplasty

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Open Collis Gastroplasty

Figure 7.1 Original Collis illustrations from 1957. (From: Collis JL. An operation for hiatus hernia with short esophagus. Thorax. 1957;12(3):181–188, with permission). INDICATIONS/CONTRAINDICATIONS The absolute indication for performing a Collis…

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Colon Interposition

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Colon Interposition

INDICATIONS/CONTRAINDICATIONS Colon interposition is performed most frequently when the stomach is not suitable or available for use as an esophageal substitute. Possible reasons include previous gastrectomy, tumor involvement of the…

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Fundoplication: Open Transabdominal Approach

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Fundoplication: Open Transabdominal Approach

INDICATIONS Reconstruction of the esophagogastric junction (EGJ) that includes fundoplication is indicated in the treatment of (1) gastroesophageal reflux disease (GERD) and (2) symptomatic mechanical obstruction resulting from Type III…

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Transthoracic Nissen Fundoplication

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Transthoracic Nissen Fundoplication

INDICATIONS FOR TRANSTHORACIC APPROACH Consideration of antireflux surgery is appropriate under several circumstances, which are well documented in Chapters 1 and 3. Briefly, operation is reasonable to consider when the…

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Thyroid Hormones and Cardiovascular Surgery

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Thyroid Hormones and Cardiovascular Surgery

Block of variables n Average SD Minimum Maximum 25th Quartile Median 75th Quartile Calculated significance (P) Total leukocytes pre 18 7,369.44 2,629.74 2,090.00 12,450.00 5,980.00 7,180.00 9,190.00  Total leukocyte intra…

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Idiopathic Venous Thromboembolism

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Idiopathic Venous Thromboembolism

Strong (risk increased by more than tenfold) Fracture (hip or leg) Hip or knee prosthesis Major surgery (general) Major trauma Spinal cord injury Moderate (risk increased by two to ninefold)…

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Lung Protection in Cardiovascular Surgery

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Lung Protection in Cardiovascular Surgery

Utilization of heparin-coated circuits Utilization of synthetic co-polymer(methacrylate)-coated circuits Utilization of phosphorylcholine-coated circuits Use of ultrafiltration techniques Use of leukocytes filters Use of the Drew-Anderson techniquea Lung perfusion with controlled…

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