Pericardiolysis

Pericardiolysis is a surgical operation that involves separating adhesions formed between the visceral and parietal layers of the pericardium (adherent pericardium).

The reasons for the formation of adhesive pericarditis can be different - tuberculosis, tumors, trauma, radiation exposure, etc. Adhesions limit the mobility of the heart, which leads to disruption of its contractile function.

The goal of pericardiolysis is to relieve compression of the heart by detaching the parietal layer of the pericardium from the visceral layer and removing adhesions. The operation is performed under artificial circulation.

Currently, pericardiolysis is practically not used due to the development of minimally invasive treatment methods (pericardiocentesis, balloon pericardiotomy), which can effectively combat the manifestations of cardiac compression during adhesive pericarditis.

Pericardiectomy is a surgical procedure that involves separating adhesions between two layers of the pericardium. The pericardium is the membrane that surrounds the heart and protects it from damage and infection. Adhesions between the pericardial layers can form in various diseases, such as infectious diseases, trauma, autoimmune diseases and others. If these adhesions become too large and interfere with the heart's function, surgery may be required.

Pericardiolysis can be performed either routinely or urgently. Elective surgery is performed if there are certain indications, for example, with the development of heart failure that is not amenable to drug therapy. Emergency surgery may be necessary in the presence of acute pericarditis, an inflammation of the pericardium that can lead to serious complications and even death of the patient.

During the operation, the surgeon makes a small incision in the patient's chest and removes the adhesions between the two layers of the pericardium. After this, the heart becomes freer and begins to work normally. The operation usually lasts about one hour and is performed under general anesthesia.

After the operation, the patient must remain in the hospital for several days to monitor his health. After discharge from the hospital, the patient is advised to avoid physical activity and stressful situations for several weeks.

Although pericardiolysis is an effective treatment, it does have some risks and complications. For example, bleeding, internal organ damage, infection, and other complications may occur after surgery. In addition, pericardiolysis may not always help treat all diseases that require surgery.

Pericardiolysis is a minimally invasive procedure in which the surgeon surgically drains intraperitoneal fluid from the pericardial sac. Often accompanied by dissection of adhesions (adhesive pericardial syndrome).

The convergence of the two layers of the pericardium leaves little space for the normal functioning of the pericardium and provokes the following complications:

* Pericardial edema; * Stagnation of fluid in the pericardial sac; * Heart rhythm disturbances.