How to perform a pericardial window for a traumatic pericardial effusion.?
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To perform a pericardial window for a traumatic pericardial effusion, various minimally invasive techniques can be utilized. One approach is the use of awake single-port video-assisted thoracoscopic surgery (VATS), which has been successfully employed in patients with chronic, recurrent, or large pericardial effusions, providing both diagnostic and therapeutic benefits . Another option is needlescopic VATS, which involves using 3-mm instruments to create a pericardial window with minimal access trauma, smaller scars, reduced postoperative pain, and quicker recovery . Additionally, videothoracoscopic pericardial window surgery has been shown to be effective and safe for draining pericardial effusions, enabling concurrent biopsies if needed . These techniques offer less invasive alternatives for managing traumatic pericardial effusions, ensuring efficient diagnosis and treatment with favorable outcomes.
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Open access•Journal Article 1 Citations | A pericardial window for traumatic pericardial effusion can be performed using needlescopic surgery with 2- and 3-mm endoscopic instruments, resulting in minimal scarring and successful outcomes. |
| Not addressed in the paper. | |
| To perform a pericardial window for traumatic pericardial effusion, utilize needlescopic VATS with 3-mm instruments, create a 3-cm pericardial window anterior to the phrenic nerve, and ensure proper drainage. | |
| Not addressed in the paper. | |
| Not addressed in the paper. |
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