A Dedicated Stitch to Allow Early Safe Mobilization Avoiding Drain-Induced Heart Injury

Braz J Cardiovasc Surg. 2019 Aug 27;34(4):484-487. doi: 10.21470/1678-9741-2019-0289.

Abstract

Placement of a mediastinal drain is a routine procedure following heart surgery. Postoperative bed rest is often imposed due to the fear of potential risk of drain displacement and cardiac injury. We developed an encapsulating stitch as a feasible, effective and low-cost technique, which does not require advanced surgical skills for placement. This simple, novel approach compartmentalizes the drain allowing for safe early mobilization following cardiac surgery.

Keywords: Arterial Grafts; Coronary Artery Bypass Grafts; Drainage; Heart Injury; Off-Pump Surgery.

MeSH terms

  • Coronary Artery Bypass*
  • Drainage / instrumentation*
  • Drainage / methods
  • Feasibility Studies
  • Heart Ventricles / injuries
  • Humans
  • Intraoperative Neurophysiological Monitoring / methods*
  • Mediastinum / surgery*
  • Pericardial Effusion / prevention & control
  • Postoperative Complications / prevention & control*