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Eli Milgalter
Gideon Uretzky
Shalom Zilberman
Dov V. Shimon
Azai Appelbaum
Joseph B. Borman
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Ann Thorac Surg 1985;40:634-635
© 1985 The Society of Thoracic Surgeons


Articles

Pericardial Meshing: A New Technique to Facilitate Primary Tension-Free Pericardial Closure

Eli Milgalter, M.D.*, Gideon Uretzky, M.D., Shalom Zilberman, M.D., Dov V. Shimon, M.D., Azai Appelbaum, M.D., Joseph B. Borman, M.B., F.R.C.S.

From the Joseph Lunenfeld Cardiac Surgery Research Center and the Department of Cardiothoracic Surgery, Hadassah University Hospital, Jerusalem, Israel

Accepted for publication March 11, 1985.

* Address reprint requests to Dr. Milgalter, Department of Cardiothoracic Surgery, Hadassah University Hospital, POB 12000, Jerusalem 91120, Israel

A method is described to facilitate pericardial approximation at the conclusion of open-heart surgical procedures. Before sternal closure, the anterior pericardium is meshed by multiple longitudinal incisions until tension-free closure is possible. The technique was developed by animal experimentation and is now being performed in patients. It has proven to be simple, safe, and effective.




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