{"id":{"repo_id":"cape-town","oai_identifier":"oai:open.uct.ac.za:11427/8781"},"canonical_url":"https://search.dev.ndltd.org/etd/cape-town/oai:open.uct.ac.za:11427/8781","repository":{"repo_id":"cape-town","name":"University of Cape Town","base_url":"https://open.uct.ac.za/oai/request"},"display":{"title":"Surgical techniques used for closure of perimembranous ventricular septal defects","abstract":"A retrospective study was done at Red Cross Children's Hospital, Rondebosch, Cape Town in which two separate case-matched groups of children undergoing different surgical closure techniques for their isolated perimembranous ventricular septal defects were compared. Group I consisted of 77 children who had their VSDs closed between 1987 to 1990, mainly with a double velour dacron patch using interrupted alternating 5.0 silicone coated braided polyester suture ( Ticron®) and 5.0 polypropylene (Prolene®) pledgetted sutures (n=71). Five patients in Group I had bovine pericardium used and 1 patient's VSD was closed by a direct suture technique. Group II consisted of 93 children operated on between 1995 to 1998, and had their VSDs closed with a 0.6% glutaraldehyde-treated autologous pericardial patch using 5.0 polypropylene suture material in a continuous horizontal mattress suture without pledgets. Surgical time, discharge echocardiograms and follow up records were reviewed to assess the incidence of complications, reoperation or residual VSD needing further follow up.","abstract_html":"A retrospective study was done at Red Cross Children's Hospital, Rondebosch, Cape Town in which two separate case-matched groups of children undergoing different surgical closure techniques for their isolated perimembranous ventricular septal defects were compared. Group I consisted of 77 children who had their VSDs closed between 1987 to 1990, mainly with a double velour dacron patch using interrupted alternating 5.0 silicone coated braided polyester suture ( Ticron®) and 5.0 polypropylene (Prolene®) pledgetted sutures (n=71). Five patients in Group I had bovine pericardium used and 1 patient's VSD was closed by a direct suture technique. Group II consisted of 93 children operated on between 1995 to 1998, and had their VSDs closed with a 0.6% glutaraldehyde-treated autologous pericardial patch using 5.0 polypropylene suture material in a continuous horizontal mattress suture without pledgets. Surgical time, discharge echocardiograms and follow up records were reviewed to assess the incidence of complications, reoperation or residual VSD needing further follow up.","abstract_has_math":false,"creators":["Karani, Zeead"],"institution":"Division of Cardiology","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Hewitson, John","Von Oppell, Ulrich"],"committee_chairs":[],"committee_members":[],"year":2002,"date_issued":"2002","date_published":"2002","updated_at":"2026-07-22T22:23:12Z","subjects":[],"languages":["eng"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/11427/8781","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Hewitson, John","Von Oppell, Ulrich"]},{"key":"dc:creator","label":"Author","values":["Karani, Zeead"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2014-10-26T19:31:20Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2014-10-26T19:31:20Z"]},{"key":"dc:date.issued","label":"Date","values":["2002"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Division of Cardiology"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["University of Cape Town"]},{"key":"dc:type","label":"Dc Type","values":["Master Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Masters"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["MMed"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["eng"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/11427/8781"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Includes bibliographical references."]},{"key":"dc:description.abstract","label":"Abstract","values":["A retrospective study was done at Red Cross Children's Hospital, Rondebosch, Cape Town in which two separate case-matched groups of children undergoing different surgical closure techniques for their isolated perimembranous ventricular septal defects were compared. Group I consisted of 77 children who had their VSDs closed between 1987 to 1990, mainly with a double velour dacron patch using interrupted alternating 5.0 silicone coated braided polyester suture ( Ticron®) and 5.0 polypropylene (Prolene®) pledgetted sutures (n=71). Five patients in Group I had bovine pericardium used and 1 patient's VSD was closed by a direct suture technique. Group II consisted of 93 children operated on between 1995 to 1998, and had their VSDs closed with a 0.6% glutaraldehyde-treated autologous pericardial patch using 5.0 polypropylene suture material in a continuous horizontal mattress suture without pledgets. Surgical time, discharge echocardiograms and follow up records were reviewed to assess the incidence of complications, reoperation or residual VSD needing further follow up."]},{"key":"dc:title","label":"Title","values":["Surgical techniques used for closure of perimembranous ventricular septal defects"]}]}],"canonical_facts":{"dc:contributor.advisor":["Hewitson, John","Von Oppell, Ulrich"],"dc:creator":["Karani, Zeead"],"dc:date.accessioned":["2014-10-26T19:31:20Z"],"dc:date.available":["2014-10-26T19:31:20Z"],"dc:date.issued":["2002"],"dc:description":["Includes bibliographical references."],"dc:description.abstract":["A retrospective study was done at Red Cross Children's Hospital, Rondebosch, Cape Town in which two separate case-matched groups of children undergoing different surgical closure techniques for their isolated perimembranous ventricular septal defects were compared. Group I consisted of 77 children who had their VSDs closed between 1987 to 1990, mainly with a double velour dacron patch using interrupted alternating 5.0 silicone coated braided polyester suture ( Ticron®) and 5.0 polypropylene (Prolene®) pledgetted sutures (n=71). Five patients in Group I had bovine pericardium used and 1 patient's VSD was closed by a direct suture technique. Group II consisted of 93 children operated on between 1995 to 1998, and had their VSDs closed with a 0.6% glutaraldehyde-treated autologous pericardial patch using 5.0 polypropylene suture material in a continuous horizontal mattress suture without pledgets. Surgical time, discharge echocardiograms and follow up records were reviewed to assess the incidence of complications, reoperation or residual VSD needing further follow up."],"dc:identifier.uri":["http://hdl.handle.net/11427/8781"],"dc:language.iso":["eng"],"dc:publisher.department":["Division of Cardiology"],"dc:publisher.institution":["University of Cape Town"],"dc:title":["Surgical techniques used for closure of perimembranous ventricular septal defects"],"dc:type":["Master Thesis"],"dc:type.qualificationlevel":["Masters"],"dc:type.qualificationname":["MMed"]},"updated_at":"2026-07-22T22:23:12Z"}