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Ann Thorac Surg 1987;43:227-228
© 1987 The Society of Thoracic Surgeons

Articles

Use of a Zipper in Cardiac Surgical Operations

Robert E. Applebaum, M.D.*, David C. Green, M.D., Alejandro Sequeira, M.D., Joseph S. McLaughlin, M.D.

From the Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Maryland Hospital, Baltimore, MD

Accepted for publication May 23, 1986.

* Address reprint requests to Dr. Applebaum, Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Maryland Hospital, Baltimore, MD 21201

A simplified technique to gain repeated access to the median sternotomy incision is presented. The technique involves the use of a sterile polyester zipper attached to the skin edge. The sternum remains open. Unzipping the zipper allows for repeated relief of cardiac tamponade and viewing of cardiac action. Other advantages include prevention of cardiac compression or kinking of assist device cannulas from sternal closure, ease in changing of dressings, and quick removal of ventricular assist devices without reopening the sternum.




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