A simple modification of the conventional figure-of-eight sternal closure technique
Rev. bras. cir. cardiovasc
; 34(4): 406-411, July-Aug. 2019. tab, graf
Article
in English
| LILACS
| ID: biblio-1020486
Responsible library:
BR1.1
ABSTRACT
Abstract Objective:
To describe a new technique of sternal closure, modified from the conventional figure-of-eight approach, which can provide a secure closure and prevent sternal complications.Methods:
The modified technique is based on the intercalation of the caudal portion of each steel wire passed along the sternum. This is a retrospective analysis of patients operated with this modified technique at our institution between January 2014 and December 2016.Results:
One hundred and forty-three patients underwent sternal closure with the modified technique. In-hospital mortality rate was 1.4% (n=2). No sternal instability was observed at 30 days postoperatively. Two patients developed mediastinitis that required extraction of the wires.Conclusion:
Short-term results have shown that the modified sternal closure technique can be used safely and effectively, with complications rates being consistent with worldwide experience.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Target 3.4: Reduce premature mortality due to noncommunicable diseases
/
Target 3.2: Reduce avoidable death in newborns and children under 5
/
Other Respiratory Diseases
Database:
LILACS
Main subject:
Sternum
/
Surgical Wound Dehiscence
/
Suture Techniques
/
Wound Closure Techniques
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Adolescent
/
Adult
/
Aged
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
CIRURGIA GERAL
Year:
2019
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital Norte Paranaense (HONPAR)/BR
/
Instituto Nossa Senhora Aparecida (INSA)/BR