 The left cylinder was then subsequently explanted and this was very difficult as well trying to tract the tubing from the left cylinder across the midline back to the right pump since this was also densely scarred in and _________ a small amount of bleeding, which was controlled with monopolar and cautery was used on three different occasions, but just simple small burst under the guidance of anesthesia and there was no ectopy noted. 
The left cylinder was then subsequently explanted and this was very difficult as well trying to tract the tubing from the left cylinder across the midline back to the right pump since this was also densely scarred in and _ _ _ _ _ _ _ _ _ a small amount of bleeding , which was controlled with monopolar and cautery was used on three different occasions , but just simple small burst under the guidance of anesthesia and there was no ectopy noted .