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Retractor in retractor technique

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Abstract

Placing retractor and stabilization devices during open heart surgery can be difficult in obese patients due to extremely short neck and excessive breast tissue. Off-pump coronary bypass operations in these patients can be particularly technically demanding. To overcome this difficulty, we have used two retractors concomitantly. The first retractor is placed to the edges of sternum and the second one is placed into this first retractor. This maneuver ensures an extra height, and placing stabilization devices in this second retractor is relatively easy. Thus, we suggest that adding this maneuver will facilitate off-pump coronary bypass operations.

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Authors and Affiliations

  1. Lokman Hekim Hospital, Lokman Hekim University, Citipiti Sokak NO:6 Angora Evleri Çayyolu, Çankaya, Ankara, Turkey

    Levent Çetin, Edip Temiz & Erkan Kuralay

Authors
  1. Levent Çetin
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  2. Edip Temiz
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  3. Erkan Kuralay
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Correspondence to Erkan Kuralay.

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The authors declare that they have no conflict of interest.

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Informed consent was obtained from all individual participants included in the study.

Ethical approval

Lokman Hekim University has approved our technique since 2012 (Ap number: 2012/23-16).

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Çetin, L., Temiz, E. & Kuralay, E. Retractor in retractor technique. Indian J Thorac Cardiovasc Surg 35, 264–265 (2019). https://doi.org/10.1007/s12055-019-00799-x

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  • DOI: https://doi.org/10.1007/s12055-019-00799-x

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