Having removed all loose necrotic material, the guide wire stiffener is re-passed along the dilated tract.
A 34-Fr. soft tube drain is passed over the stiffener.
An 8-Fr. umbilical catheter is sutured to the larger drain to allow continuous cavity lavage postoperatively.
Cavity lavage is commenced at 250ml/h using dialysis fluid via a blood warmer. A median of three procedures/patient will be required prior to resolution. Steps 1 and 3 are omitted as the dilatation/access is not required. The Amplatz sheath is again not required.
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For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.