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A simple modification of the conventional figure-of-eight sternal closure technique
Karigyo, Carlos Junior Toshiyuki; Pesarini, Aldo.
Afiliación
  • Karigyo, Carlos Junior Toshiyuki; Hospital Norte Paranaense (HONPAR). Arapongas. BR
  • Pesarini, Aldo; Instituto Nossa Senhora Aparecida (INSA). Umuarama. BR
Rev. bras. cir. cardiovasc ; 34(4): 406-411, July-Aug. 2019. tab, graf
Article en En | LILACS | ID: biblio-1020486
Biblioteca responsable: 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.
Asunto(s)
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Esternón / Dehiscencia de la Herida Operatoria / Técnicas de Sutura / Técnicas de Cierre de Heridas Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Rev. bras. cir. cardiovasc Asunto de la revista: CARDIOLOGIA / CIRURGIA GERAL Año: 2019 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil

Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Esternón / Dehiscencia de la Herida Operatoria / Técnicas de Sutura / Técnicas de Cierre de Heridas Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Rev. bras. cir. cardiovasc Asunto de la revista: CARDIOLOGIA / CIRURGIA GERAL Año: 2019 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil