Original Articles · pages 122–123
Unintentional Pleurotomy during Sternotomy: Prospective Randomized Study at Department of Cardiothoracic Surgery at Rajiv Gandhi Govt. General Hospital
Cite this article
G. Joseph Raj, Pradeep Anand. Unintentional Pleurotomy during Sternotomy: Prospective Randomized Study at Department of Cardiothoracic Surgery at Rajiv Gandhi Govt. General Hospital. J Int Med Sci Acad. 2021;34(2):122–123.
Opening of the article
Sternotomy is the commonest access for cardiac surgeries and mediastinal surgeries. Many a times pleura is inadvertently opened during sternotomy, which may require insertion of chest tube insertion and added morbidity. To avoid accidental pleurotomy, various methods has been postulated to avoid the same. Commonest method being deflating Lungs before sternotomy. Delaying the sternotomy for a few seconds after Deflation of Lungs and whether it reduces accidental pleurotomy is to be studied. This is considered as the Lungs take a while to deflate after disconnection of circuit. Study was done among 100 patients who underwent sternotomy during the period of November 2018-November 2019.
Keywords
Sternotomy, Cardiac Surgeries, Mediastinal Surgeries, Gullu et al, OZ BS et al, Pick A et al, Lichenstein SV et al