Transcutaneous insertion of the Chitwood® clamp in case of minimally invasive cardiac surgery. Personal experience
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(2) 0671 10 Transcutaneous_SANSONE:-. 17-10-2013. 14:42. Pagina 279. er na. zio na li. Transcutaneous insertion of the Chitwood® clamp in case of minimally invasive cardiac surgery. Personal experience. iI nt. Fig. 1 - Schematic presentation of the trans-thoracic Chitwood® clamp, inserted through a small access (< 1 cm) via the second intercostal space along the anterior axyllary line.. izi on. the surgical field. Moreover, the risk of interweaving of the stitches used for surgery is almost absent because the clamp is away.. Discussion and conclusion. Ed. In our experience, the use of a trans-thoracic clamp has allowed a progressive reduction of the dimension of the skin incision, from the initial 8-9 cm to the 6-7 cm now. Moreover, this additional skin incision is used as. an access for the chest drain at the end of the procedure and it is usually closed by a U silk stitch (after chest drain removal). The use of trans-thoracic Chitwood® clamp has been already reported from authors involved in minimally invasive surgery in case of dysfunction of the Heart Port endoclamp (1) or in case of video-assisted surgery. The use of the trans-thoracic clamp even in case of non-video assisted right thoracotomy is a simple trick leading to a reduction of the skin incision and to an improvement of the surgical procedure.. References. ©. CI. C. 1. Aybek T, Dogan S, Wimmer-Greinecker G, Westphal K, Mortiz A. The micro-mitral operation comparing the Port-Access technique and the transthoracic clamp technique. J Card Surg 2000;15:76-81.. 279.
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