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European Journal of Cardio-Thoracic Surgery, Vol 7, 81-83, Copyright © 1993 by European Association for Cardio-thoracic Surgery
GL Kaan, F Smedts, JA Van Son, JG Vincent, K Kubat, SH Skotnicki and LK Lacquet
The effects of wrapping the internal mammary artery in Gore-Tex surgical
membrane on the formation of adhesions were investigated. In seven goats
both internal mammary arteries were dissected free from the thoracic wall.
In six goats the internal mammary arteries were wrapped in Gore-Tex
surgical membrane. In the remaining animal both arteries were removed and
used as controls. After 6 months the goats were reoperated and it was found
that the wrapped segments of all arteries were completely free of
adhesions, whereas the non-wrapped segments showed severe adhesion
formation. Histologic examination could not detect differences between the
wrapped arteries and the controls. One of the 12 wrapped arteries was
occluded by a longer existing thrombus, which is attributed to the surgical
technique and the fact that postoperatively no anticoagulation was given.
The beneficial effect of the use of Gore-Tex surgical membrane on the
prevention of adhesion formation is excellent and this implies that it
could be used in coronary artery bypass operations, thus reducing the
chance of damage to the bypass in case of reoperation.
ARTICLES
Prevention of adhesion formation around the internal mammary artery pedicle by Gore-Tex surgical membrane. An experimental study in goats
Department of Thoracic and Cardiac Surgery, Nijmegen, The Netherlands.
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