Barone G W, Pait T G, Lightfoot M L, Ketel B L
Department of Surgery, University of Arkansas for Medical Sciences, 4301 West Markham, Little Rock, AR 72205, USA.
J Cardiovasc Surg (Torino). 2001 Aug;42(4):569-70.
The closure of the commonly used lateral thoracotomy incision usually includes pericostal sutures which encircle the ribs. Risks of these pericostal sutures include the injury and/or the entrapment of the intercostal neurovascular bundle located along the inferior underedge of each rib. The simple adaptation of the Rumel tourniquet technique is described as an aid for the primary closure of a lateral thoracotomy which may avoid some of the potential complications inherent to thoracotomy incisions.
常用的侧胸壁切开术切口的关闭通常包括环绕肋骨的肋周缝合。这些肋周缝合的风险包括位于每根肋骨下缘的肋间神经血管束的损伤和/或卡压。本文描述了简单改良的鲁梅尔止血带技术，作为侧胸壁切开术一期关闭的辅助方法，这可能避免一些胸壁切开术切口固有的潜在并发症。
