JTCS St. Jude Medical
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mandhan, P. L.
Right arrow Articles by Beasley, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mandhan, P. L.
Right arrow Articles by Beasley, S.
Related Collections
Right arrow Congenital - acyanotic

J Thorac Cardiovasc Surg 2006;132:672-674
© 2006 The American Association for Thoracic Surgery

Surgery for Congenital Heart Disease

Comparison of suture ligation and clip application for the treatment of patent ductus arteriosus in preterm neonates

Parkash Lal Mandhan, MD, PhDa,*, Udaya Samarakkody, MD, FRACSa, Stuart Brown, MD, FRACSa, Askar Kukkady, MD, FRACSa, Kiki Maoate, MD, FRACSb, Russell Blakelock, MD, FRACSb, Spencer Beasley, MD, FRACSb

a Department of Paediatric Surgery, Waikato Hospital, Hamilton, New Zealand
b Department of Paediatric Surgery, Christchurch Hospital, Christchurch, New Zealand.

Received for publication December 20, 2005; revisions received March 24, 2006; accepted for publication April 3, 2006.

* Address for reprints: Parkash Lal Mandhan, MD, PhD, Waikato Hospital, Paediatric Surgery, Level 02, E. R. Building, Pembrook St, Hamilton 7524, New Zealand. (Email: sindhwasi{at}e3.net.nz).

OBJECTIVE: We reviewed the experience of 2 centers performing surgical ligation of patent ductus arteriosus in preterm neonates to identify whether the choice of surgical technique—suture ligation or clip application—affected outcome.

METHODS: Between 2000 and 2005, 67 newborn infants had open surgical closure of patent ductus arteriosus: 33 by suture ligation and 34 by clip application. The groups were similar in age and sex.

RESULTS: The average length of the procedure was 55.8 ± 13.7 minutes for suture ligation and 30.8 ± 8.7 minutes for clip application (P < .05). Six neonates had intraoperative bleeding in the suture ligation group. Four patients had significant postoperative complications in the suture ligation group, compared with 2 in the clip application group.

CONCLUSIONS: This study demonstrates that clip application results in a significant reduction in the operative time and, possibly, in less morbidity.

Abbreviations and Acronyms CA = clip application; PDA = patent ductus arteriosus; SL = suture ligation






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2006 by The American Association for Thoracic Surgery.