Advanced Sternal Closure to Prevent Dehiscence in Obese Patients

Advanced Sternal Closure to Prevent Dehiscence in Obese Patients

Sternal dehiscence is a frequent complication after cardiac surgical procedures. The objective was to evaluate a novel method for advanced sternal closure compared with standard techniques for preventing sternal dehiscence. Our investigation comprised 100 patients with a body mass index above 32. Pa...

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Veröffentlicht in:The Annals of thoracic surgery 2005-10, Vol.80 (4), p.1537-1539
Hauptverfasser: Kiessling, Arndt-H., Isgro, Frank, Weisse, Udo, Möltner, Andreas, Saggau, Werner, Boldt, Joachim
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Biological and medical sciences
Cardiac Surgical Procedures - adverse effects
Cardiac Surgical Procedures - instrumentation
Cardiac Surgical Procedures - methods
Equipment Design
Female
Follow-Up Studies
Humans
Male
Medical sciences
Metabolic diseases
Middle Aged
Obesity
Obesity - complications
Prospective Studies
Sternum - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the respiratory system
Surgical Wound Dehiscence - etiology
Surgical Wound Dehiscence - prevention & control
Treatment Outcome
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Beschreibung
Zusammenfassung:Sternal dehiscence is a frequent complication after cardiac surgical procedures. The objective was to evaluate a novel method for advanced sternal closure compared with standard techniques for preventing sternal dehiscence. Our investigation comprised 100 patients with a body mass index above 32. Patients were randomly assigned to receive either advanced sternal closure with three stainless steel double wires or standard techniques with stainless steel single wires. The incidence of sternal refixation was 6 of 50 patients in the standard techniques group and 1 of 50 in the advanced sternal closure group during a follow-up period of 6 months.
ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2004.04.050