Closure of pericardium?

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Abdullah

Always close the pericardium over one of the two mediastinal drains OR leave it partially open. There is ALWAYS a small risk of a delayed pericardial effusion, which should be drainable if the above is followed. Mostly these are serous effusions, if the heart was correctly repaired initially.

Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
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-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Abdullah Harthy
Sent: Tuesday, August 21, 2007 2:54 AM
To: trauma-list at trauma.org
Subject: Closure of pericardium?


I'd like to ask the group, if they usually close the
pericardium after a repair of a cardiac injury? And if
any, have noted an increase in acute or delayed
temponade if the pericardium was closed?

A. Al- Harthy


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