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Hot‐Knife Dissection of the Latissimus Dorsi Muscle for Dynamic Cardiomyoplasty
Author(s) -
Takahashi Masao,
Tomita Shigeyuki,
Ohtake Hiroshi,
Tanaka Nobuyuki,
Kawasuji Michio,
Watanabe Yoh
Publication year - 1997
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1111/j.1525-1594.1997.tb00356.x
Subject(s) - latissimus dorsi muscle , cardiomyoplasty , medicine , dissection (medical) , surgery , circulatory system , anatomy , heart failure , cardiology
The overall purpose of circulatory assistance utilizing skeletal muscle is the most efficient application of muscle power. From the histological viewpoint, hot‐knife dissection of the latissimus dorsi muscle (LDM) is presented to preserve muscle tissue. The shaw hemostatic scalpel could be used similarly to standard surgical blades, and its hemostatic performance was efficient in sealing collateral vessels from the thoracic wall. Muscular and nervous twitching was never observed throughout dissecting the LDM. Histological findings revealed that muscle fibers could be preserved by hot‐knife dissection rather than by electrocautery. This technique may reduce the inconvenience of the operators, and, therefore, shorten the operation time in dynamic cardiomyoplasty and other experiments.