close the pericardium after negative window?

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Hi Ian

There is controversy over closure of the pericardium after thoractomy and
sternotomy, while AFAIK there is NO reason to close a small hole mad for a
pericardial window. There are two very different procedures.

Tim
Dr T C Hardcastle
M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
Principal Specialist Trauma Surgeon /
Honorary Senior Lecturer UKZN Dept Surgery
Deputy Director - IALCH Trauma Service
Durban, South Africa

> Hello all:
>
> I'm preparing a presentation on subxiphoid pericardial windows and would
> like some thoughts from the experienced surgeons on this list regarding
> whether or not to close the pericardium after a negative pericardial
> window.  I have always been told to excise a window and never to close the
> resulting pericardial defect.
>
> Thank you,
>
> Ian R. Driscoll, MD
> CPT, MC, USA
> Resident, Department of General Surgery
> Walter Reed Army Medical Center
> 6900 Georgia Ave. NW
> Washington, DC 20307-5001
> (202) 782-4968

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