Posts Tagged ‘Graft’

Spreader graft placement for an Open Rhinoplasty procedure


www.spaldingplasticsurgery.com http Dr. Paul Nassif performs multiple procedures such as placement of spreader grafts, hump reduction and osteotomies during this open rhinoplasty Spreader grafts are intended to target a dysfunctional internal valve and/or narrowed or collapsed middle vault. This typically results in one of two different types of patients, as follows: The first is a patient with a congenital abnormality of this region. This is either from an inherently weak upper lateral cartilage or a congenitally crooked dorsal septal margin that deviates to one side. Spreader grafts sutured into position. Several hor¬izontal mattress sutures secure the spreader grafts and up-per lateral cartilages. A needle of adequate size (such as a PS-2) facilitates engaging all structures (upper lateral carti¬lage-to-spreader graft-to-septum-to-spreader graft-to-upper lateral cartilage) in a single pass. Note how this suture passes through the dorsal edge of the upper lateral cartilage. The spreader grafts may be secured first to the septum to stabilize them in position. Alternatively (and commonly), simply engage all structures (upper lateral cartilage-to-spreader graft-to septum-to-spreader graft-to-upper lateral cartilage) with a single mattress suture. An additional horizontal mattress suture may be necessary to secure the spreader grafts and upper lateral cartilages in position. A needle of adequate size (such as a PS-2) facilitates en gaging all structures in a single pass. Do

Malpractice Medical Coronary Artery Bypass Graft (CABG) Surgery 3


www.PreOp.com Medical Malpractice and Patient Education Company Patient ED @ 617-379-1582 INFO One or more sections of blood vessel will be taken from the leg, thigh or chest wall and the incision at those points will be sutured and bandaged. Then, your doctor will make a vertical incision in the center of the chest. Skin and other tissue will be pulled back in order to expose the breast bone. Your doctor will carefully divide the breast bone … … and a special instrument called a retractor will be used to hold the chest open. Once your doctor has a clear view of the heart, he or she will make an incision in the pericardium – a thin membrane that encloses the heart. Medical Malpractice Pulling the pericardium back will reveal the beating heart. Before the graft vessel or vessels can be attached, a heart-lung machine must be connected, A heart lung machine takes over the job of circulating and oxygenating the blood so that your doctor will be free to stop your heart for the length of the operation. Medical Malpractice To connect the heart-lung machine, one tube is placed into the aorta … … and a second tube is placed into the right atrium of the heart. One or two smaller tubes are then inserted into the heart. These will carry a special solution that helps preserve the hearts temperature. When all the tubes are in place, the surgical team will turn on the bypass machine. It will begin to circulate the blood as the heart cools. Medical Malpractice When the