STEP 4Postoperative management of cavity

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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