On December 13, 2006, at 4:00 p.m. MST, join Gilbert R. Schorlemmer, MD for a presentation with edited surgical clips demonstrating "Harvest of the Internal Mammary Artery" on www.OR-Live.com. Dr. Schorlemmer performs a skeletonized internal mammary harvest using an ultrasonic device, the Harmonic(TM) System, to dissect, coagulate, and transect branches of the mammary artery in a rapid, and reproducible method of skeletonization. The technique is not only demonstrated, but Dr. Schorlemmer also shares some tips and tricks.
Dr. Schorlemmer is Attending Surgeon at St. Mark's Medical Center. Some of his many accomplishments include developing and implementing a new cardiac surgery program, producing marked improvement in patient outcomes with significant reduction in length of stay, and implementing a robotic cardiac surgery program utilizing the Intuitive Surgical, Inc da Vinci® Surgical System.
Surgeons at St. Mark's Hospital perform approximately 500 open-heart operations annually. The majority of these are coronary artery bypass grafts for occlusive coronary artery disease. An internal mammary artery conduit is used in virtually all cases. The mammary artery is the premier conduit for coronary bypass and its use is directly related to long-term survival in these patients. However, the standard pedicle harvest of the mammary artery can be associated with wound complications, particularly in diabetic patients. Skeletonization of the artery provides extra conduit for bypass grafting and can eliminate wound complications but has been technically demanding. The use of Harmonic(TM) dissection and coagulation makes a reproducible procedure providing an excellent conduit which can be used for multiple grafts.
This presentation may include demonstration of the use of surgical devices; it is not intended to be used as a surgical training guide. Other surgeons may employ different techniques. Individual surgeon preference and experience, as well as patient needs, should always dictate variation in procedure steps. Before using any medical device, including those demonstrated or referenced in this presentation, review all relevant package inserts, with particular attention to the indications, contraindications, warnings and precautions, and steps for use of the device.
This presentation is the work of the author and may not necessarily reflect the views of Ethicon Endo-Surgery, Inc. Harmonic(TM) is a trademark of Ethicon Endo-Surgery, Inc, a division of Johnson & Johnson
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