A modified parasternal wire technique for prevention and treatment of sternal dehiscence.
作者： Rajeev Sharma , Deepak Puri , Bishnu P Panigrahi , Inderjeet S Virdi
DOI: 10.1016/S0003-4975(03)01339-0
关键词:
摘要: Abstract Background Sternal dehiscence with or without mediastinitis is a devastating complication of median sternotomy. Various techniques sternotomy closure including ‘figure eight' wire sutures, nylon bands, and custom-made titanium-H plates have been described. We devised tested new method sternal to prevent wound complications in patients at high risk dehiscence. Methods 1336 underwent for various cardiac operations from January 1996 2002. Patients were divided into two groups. Group I consisted 560 who did not any factors received standard six closure. II comprised randomly subgroup A ( n = 390), which included had conventional While B 386) modified parasternal according the finalized protocol. Results instability was noticed 1/560 none group I, but 16/390 3/390 A, whereas only one patient developed required pectoral flap advancement Conclusions Use safe, effective, technically easily reproducible, as well economical, preventing treating
annalsthoracicsurgery.org
elsevier.com
sci-hub.se 参考文章(12)
Peter M. Sanfelippo, Gordon K. Danielson, Nylon Bands for Closure of Median Sternotomy Incisions: An Unacceptable Method The Annals of Thoracic Surgery. ,vol. 13, pp. 404- 406 ,(1972) , 10.1016/S0003-4975(10)64873-4
John E. Sherman, Andrew Salzberg, Noel M. Raskin, Edward J. Beattie, Chest Wall Stabilization Using Plate Fixation The Annals of Thoracic Surgery. ,vol. 46, pp. 467- 469 ,(1988) , 10.1016/S0003-4975(10)64670-X
Ahmed El Gamel, Nizar A Yonan, Rageb Hassan, Mark T Jones, Colin S Campbell, Abdul K Deiraniya, Robert A.M Lawson, Treatment of Mediastinitis: Early Modified Robicsek Closure and Pectoralis Major Advancement Flaps The Annals of Thoracic Surgery. ,vol. 65, pp. 41- 46 ,(1998) , 10.1016/S0003-4975(97)01063-1
R.F. Di Marco, M.W. Lee, S. Bekoe, K.J. Grant, G.F. Woelfel, R.V. Pellegrini, Interlocking figure-of-8 closure of the sternum The Annals of Thoracic Surgery. ,vol. 47, pp. 927- 929 ,(1989) , 10.1016/0003-4975(89)90042-8
Wen Cheng, Duke E. Cameron, Karen E. Warden, James D. Fonger, Vincent L. Gott, Biomechanical study of sternal closure techniques The Annals of Thoracic Surgery. ,vol. 55, pp. 737- 740 ,(1993) , 10.1016/0003-4975(93)90285-P
Steven C. Hendrickson, Kim E. Koger, Christopher J. Morea, Reynaldo L. Aponte, Peter K. Smith, L. Scott Levin, Sternal plating for the treatment of sternal nonunion The Annals of Thoracic Surgery. ,vol. 62, pp. 512- 518 ,(1996) , 10.1016/0003-4975(96)00318-9
Floyd D. Loop, Bruce W. Lytle, Delos M. Cosgrove, Saade Mahfood, Martin C. McHenry, Marlene Goormastic, Robert W. Stewart, Leonard A.R. Golding, Paul C. Taylor, Sternal wound complications after isolated coronary artery bypass grafting: Early and late mortality, morbidity, and cost of care The Annals of Thoracic Surgery. ,vol. 49, pp. 179- 187 ,(1990) , 10.1016/0003-4975(90)90136-T
Gianmaria Ottino, Ruggero De Paulis, Stefano Pansini, Giuseppe Rocca, Maria Vittoria Tallone, Chiara Comoglio, Paolo Costa, Fulvio Orzan, Mario Morea, Major Sternal Wound Infection after Open-Heart Surgery: A Multivariate Analysis of Risk Factors in 2,579 Consecutive Operative Procedures The Annals of Thoracic Surgery. ,vol. 44, pp. 173- 179 ,(1987) , 10.1016/S0003-4975(10)62035-8
Francis Robicsek, Harry K. Daugherty, Joseph W. Cook, The prevention and treatment of sternum separation following open heart surgery The Journal of Thoracic and Cardiovascular Surgery. ,vol. 73, pp. 267- 268 ,(1977) , 10.1016/S0022-5223(19)39957-X
A.T. Culliford, J.N. Cunningham, R.H. Zeff, O.W. Isom, P. Teiko, F.C. Spencer, Sternal and costochondral infections following open-heart surgery. A review of 2,594 cases. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 72, pp. 714- 726 ,(1976) , 10.1016/S0022-5223(19)39619-9