1987
DOI: 10.1055/s-2007-1020253
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Abstract: Complete closure of the pericardium after cardiac operation would have the advantage of avoiding injury of the heart and great vessels should repeat sternotomy prove to be necessary. In such situations, various pericardial closure techniques have been described. Synthetic materials produced severe scarring, while xenografts appeared to be satisfactory, although fibrous reactions and aseptic cystic formations have been reported recently. Between 1985 and 1986 we closed the pericardium with GORE-TEX-Surgical Mem… Show more

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Cited by 24 publications
(7 citation statements)
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“…To channel or restrict the flow of liquids requires non‐permeable materials; to transport gases requires porous media. Porous, water‐repellent materials based on expanded polytetrafluoroethylene (ePTFE, Gore‐Tex, Nafion, Teflon) and other polymers have been useful in a wide range of applications, from high performance fabrics and membrane filters to fuel cells, surgical implants, and lung‐assist devices . The relatively high cost (from ∼USD$1500 m ‐2 for Nafion to ∼$29 m ‐2 for Gore‐Tex) of these materials has, however, limited their utilization for applications requiring a low‐cost or single‐use format.…”
Section: Introductionmentioning
confidence: 99%
“…To channel or restrict the flow of liquids requires non‐permeable materials; to transport gases requires porous media. Porous, water‐repellent materials based on expanded polytetrafluoroethylene (ePTFE, Gore‐Tex, Nafion, Teflon) and other polymers have been useful in a wide range of applications, from high performance fabrics and membrane filters to fuel cells, surgical implants, and lung‐assist devices . The relatively high cost (from ∼USD$1500 m ‐2 for Nafion to ∼$29 m ‐2 for Gore‐Tex) of these materials has, however, limited their utilization for applications requiring a low‐cost or single‐use format.…”
Section: Introductionmentioning
confidence: 99%
“…15) These membranes are most widely used in pediatric cardiac surgery and coronary bypass surgery for preventing cardiac injury due to adhesions in patients likely to undergo resternotomy. 1,4,6,8,10,11,13) In spinal surgery, ePTFE membranes have been employed successfully to prevent the spinal cord and nerves from adhering to granular tissue. 2,7,9) The present technique uses ePTFE membranes to prevent adhesions between the dura and temporal muscle by sutureless insertion of ePTFE membranes.…”
Section: Discussionmentioning
confidence: 99%
“…In cardiac surgery, ePTFE with large interstices may evoke severe epicardial reactions and adhesions, but the ePTFE membrane with small pores does not produce such effects. 11) The ePTFE membranes used for external decompression have interstices of º1 mm, so cellular infiltration is avoided, thereby minimizing tissue penetration and adhesion. The development of adhesions is also related to the thickness of the ePTFE material.…”
Section: Discussionmentioning
confidence: 99%
“…If closure of the pericardium is not feasible, a relaxing incision in the lateral pericardium may suffice. In some cases, the heart may be covered with pleural membranes to serve as a pericardial substitute [12] Wrapping the LIMA in synthetic polytetra- fluoroethylene (PTFE) at the time of the first surgery may reduce adhesions, increase resistance to electrocautery, and protect the pedicle from injury at subsequent reoperation [13,14]. Finally, placing the LIMA graft under the apex of the lung may prevent subsequent injury.…”
Section: Discussionmentioning
confidence: 99%