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MINIMALLY INVASIVE PERICARDIC WINDOW, OUR EXPERIENCE, APPROACHES AND SURGICAL TECHNIQUE, NO MORE OPEN SURGERY

Mauricio Zuluaga, General and MIS surgeon1, Juan Carlos Valencia, General and MIS surgeon2, Ivo Siljic, General and MIS surgeon1, Uriel Cardona, General and MIS surgeon2. 1IJP Colombia, Hospitla Universitario Del Valle, Universidad Del Valle, 2IJP Colombia, Clinicafarallones, Clinica Desa, Cali Colombia

INTRODUCTION: IN THE YEAR 2009 WE STARTED TO PRACTICE THE PERICARDIC WINDOW BY LAPAROSCOPY TO DIAGNOSTIC OF HEAD INJURY HIDDEN IN PRECAUSAL TRAUMA, ALTHOUGH LUCKETALLY FOR OUR SOCIETY, THIS TYPE OF INJURY HAS DECREASED CONSIDERABLY, WE HAVE ACHIEVED AN IMPORTANT NUMBER OF PATIENTS AND IN THE LAST YEAR WE HAVE PERFORMED THE PROCEDURE FOR ANOTHER TYPE OF PATHOLOGIES AND ALSO DIVERSIFIED THE APPROACH ROUTE ACCORDING TO THE CASE

OBJECTIVE: SHARING ACCUMULATED EXPERIENCE IN 8 YEARS IN THE PERICARDIC WINDOW PRACTICE BY LAPAROSCOPY OR THORACOSCOPY

MATERIAL AND METHODS

DESCRIPTION OF CASES

RESULTS: DURING THIS PERIOD, WE HAVE ACCOMPLISHED 65 CASES OF LAPAROSCOPIC PERICARDAL WINDOW WITH TWO UNIQUE PORTS FOR THE DIAGNOSIS OF HEAD INJURY IN TRAUMA PRECORDIAL, ADDITIONALLY THERE WERE PRACTICED 15 WINDOWS THROUGH TRAUMATIC TRAUMA OF WHICH 4 HAVE BEEN DERIVED IN TREATMENT OF CARDIAC INJURY ON THIS WAY, WITHOUT PERFORMING OPEN APPROACH. IN ANOTHER SCENARIO, WE HAVE PERFORMED 8 PERICARDIAL SPILL TREATMENTS FOR DIFFERENT CAUSES BY MINIMALLY INVASIVE VIA. NO COMPLICATION OR MORTALITY ASSOCIATED WITH THE PROCEDURE HAS BEEN PRESENTED

CONCLUSIONS: THE PERICARDIC WINDOW PERFORMED BY A MINIMALLY INVASIVE SURGERY IS AN EFFECTIVE, REPLICABLE STRATEGY FOR THE MANAGEMENT OF DIAGNOSIS AND THE MEDICAL AND TRAUMATIC TREATMENT OF THIS PATHOLOGY. PATIENT SELECTION IS KEY AND WORK IN MULTIDISCIPLINARY GROUPS GUARANTEES GOOD RESULTS.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 88138

Program Number: P681

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

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