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Eur J Cardiothorac Surg 2003;23:424-425
© 2003 Elsevier Science NL

How-to-do-it

Thoracoscopical water jet lavage in coagulated hemothorax

Florian Tomaselli*, Alfred Maier, Heiko Renner, Freyja Maria Smolle-Jüttner

Department of Surgery, Division of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 29 A-8036 Graz, Austria

Received 15 September 2002; received in revised form 6 November 2002; accepted 25 November 2002.

* Corresponding author. Tel.: +43-316-385-3302; fax: +43-316-385-4679
e-mail: florian.tomaselli{at}uni-graz.at

We propose the use of a pulsatile high-speed irrigation device during video-assisted thoracoscopy for retained, in part coagulated hemothorax. Blood clots and membranes adhering to intrathoracic structures are easily removed by the water jet without damaging underlying structures. The efficient dilution of the sticky retained blood and the fragmented coagula enable their quick removal over a suction catheter.

Key Words: Chest trauma • Hemothorax • Video-assisted thoracic surgery • Pulsatile jet lavage




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[Abstract] [Full Text] [PDF]


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