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this study compare two surgical techniues at the same time two methods of anathesia with assisstance of thoracoscope for cases of repeated collection of fluid in pericardial sac and observation the result of the two techniques on the operated patients from 3 to 6 months
this study compare two thoracoscopic techniues awake modified pericardial window and pericardial window under general anasethia for cases of repeated collection of fluid in pericardial sac and observation the result of the two techniques on the operated patients from 3 to 6 months
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Awake modified pericardial window | Experimental | H) shaped lines done by diathemy hoke above phrenic nerve then the upper and lower pericardial flabs reflelected outward in upper and lower directions respectively then 3 large clips applied on each angle of the reflected pericardial anlgles then heavy non absorbable suture is taken from the centre of the free reflected edge to adjacent upper and lower pericardium |
|
| General traditional pericardial window | Active Comparator | A portion of pericardium (2 cm diameter) was resected anterior to the phrenic nerve by diathermy hook |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| modified pericardial window | Procedure | (H) shaped lines done by diathemy hoke above phrenic nerve then the upper and lower pericardial flabs reflelected outward in upper and lower directions respectively then 3 large clips applied on each angle of the reflected pericardial anlgles then heavy non absorbable suture is taken from the centre of the free reflected edge to adjacent upper and lower pericardium |
| Measure | Description | Time Frame |
|---|---|---|
| recurrence of pericardial effusion | clinical (Beck's triad:Hypotension with a narrowed pulse pressure,jugular venous distension,distant heart sounds )and Echo findings suggestive of recurrence of pericardial effusion | follow up each month at out patient clinic for 6 months from the date of surgery |
| Awake anasethia | the patient is sedated -cooperative- hemodynamically stable by transthoracic spinal anasthsia at Cervical 5 | from the start till the end of the procedure about 45 min |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Amr Tawfek, as prof | cardiothoracic surgery department-faculty of medecine-zagazig univeristy-Egypt | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Amr El Sayed Tawfek | Zagazig | Sharqia Province | 44519 | Egypt | ||
| cardiothorathic surgery department -faculty of medecine-zagazig univeristy- Egypt |
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|
| traditional pericardial window | Procedure | A portion of pericardium (2 cm diameter) was resected anterior to the phrenic nerve by diathermy hook |
|
| Zagazig |
| Sharqia Province |
| 44519 |
| Egypt |
| ID | Term |
|---|---|
| D010490 | Pericardial Effusion |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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