Retractor in retractor technique
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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.
KeywordsRetractor Short neck Off-pump
Compliance with ethical standards
Conflict to interest
The authors declare that they have no conflict of interest.
Informed consent was obtained from all individual participants included in the study.
Lokman Hekim University has approved our technique since 2012 (Ap number: 2012/23-16).
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