Video-assisted thoracoscopic ligation of patent ductus arteriosus in children.

Video-assisted thoracoscopic surgery is a new approach that offers an alternative to open surgical ligation of the patient ductus arteriosus. Advanced video technology precise pediatric instrumentation, and innovative surgical techniques have facilitated the development of this approach. From April 1993 to February 1995, this procedure was performed at a large pediatric medical center on more than 100 pediatric patients with a wide range of ages and weights. There was a collaborative effort among all disciplines, and perioperative nurses on the cardiac OR team were challenged to become proficient with this new procedure through inservice sessions, ongoing education, and hands-on experience.