Sternal resection and reconstruction
Twenty-one patients underwent sternal resection and reconstruction. Surgical indications included sternal infection in 9 patients, recurrent breast cancer in 6, metastatic carcinoma from an unknown primary in 2, pectus excavatum in 2, and osteogenic sarcoma and eosinophilic granuloma in 1 each. Mana...
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| Veröffentlicht in: | The Annals of thoracic surgery 1993-04, Vol.55 (4), p.838-843 |
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| container_title | The Annals of thoracic surgery |
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| creator | Mansour, Kamal A. Anderson, Timothy M. Hester, T.Roderick |
| description | Twenty-one patients underwent sternal resection and reconstruction. Surgical indications included sternal infection in 9 patients, recurrent breast cancer in 6, metastatic carcinoma from an unknown primary in 2, pectus excavatum in 2, and osteogenic sarcoma and eosinophilic granuloma in 1 each. Management included partial sternectomy in 10 patients (group 1) and complete sternectomy in 11 (group 2). Chest wall reconstruction was by various flaps and mesh repairs. Blood transfusions averaged 2 units in group 1 versus 5.5 units in group 2 (
p = 0.02). Average number of days until exhibition was 2.6 in group 1 versus 7.3 in group 2 (
p = 0.04). Average number of intensive care unit days was 4.4 for group 1 versus 9.4 for group 2 (
p = 0.03). The number of days until discharge was 14 days for group 1 versus 20 days for group 2. Complications occurred in 40% of group 1 and 82% of group 2 patients. Overall mortality was 9.5%. Sternal resection and reconstruction, particularly complete sternal resections, are a major undertaking with substantial morbidity. Using a multidisciplinary approach (cardiothoracic, plastic and reconstructive, critical care medicine, and infectious disease) and aggressive pulmonary support, acceptable cosmetic and functional results are possible. |
| doi_str_mv | 10.1016/0003-4975(93)90102-N |
| format | Article |
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p = 0.02). Average number of days until exhibition was 2.6 in group 1 versus 7.3 in group 2 (
p = 0.04). Average number of intensive care unit days was 4.4 for group 1 versus 9.4 for group 2 (
p = 0.03). The number of days until discharge was 14 days for group 1 versus 20 days for group 2. Complications occurred in 40% of group 1 and 82% of group 2 patients. Overall mortality was 9.5%. Sternal resection and reconstruction, particularly complete sternal resections, are a major undertaking with substantial morbidity. Using a multidisciplinary approach (cardiothoracic, plastic and reconstructive, critical care medicine, and infectious disease) and aggressive pulmonary support, acceptable cosmetic and functional results are possible.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/0003-4975(93)90102-N</identifier><identifier>PMID: 8466335</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Bone Diseases - surgery ; Bone Neoplasms - surgery ; Breast Neoplasms - surgery ; Child ; Female ; Follow-Up Studies ; Funnel Chest - surgery ; Humans ; Infection - surgery ; Male ; Middle Aged ; Postoperative Complications ; Prostheses and Implants ; Retrospective Studies ; Sternum - surgery ; Surgical Flaps - methods</subject><ispartof>The Annals of thoracic surgery, 1993-04, Vol.55 (4), p.838-843</ispartof><rights>1993 The Society of Thoracic Surgeons</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-fdadd3644993b9d380516cf92ce4aa457a4940565efa976bc3d7153b2024a7743</citedby><cites>FETCH-LOGICAL-c438t-fdadd3644993b9d380516cf92ce4aa457a4940565efa976bc3d7153b2024a7743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8466335$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mansour, Kamal A.</creatorcontrib><creatorcontrib>Anderson, Timothy M.</creatorcontrib><creatorcontrib>Hester, T.Roderick</creatorcontrib><title>Sternal resection and reconstruction</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Twenty-one patients underwent sternal resection and reconstruction. Surgical indications included sternal infection in 9 patients, recurrent breast cancer in 6, metastatic carcinoma from an unknown primary in 2, pectus excavatum in 2, and osteogenic sarcoma and eosinophilic granuloma in 1 each. Management included partial sternectomy in 10 patients (group 1) and complete sternectomy in 11 (group 2). Chest wall reconstruction was by various flaps and mesh repairs. Blood transfusions averaged 2 units in group 1 versus 5.5 units in group 2 (
p = 0.02). Average number of days until exhibition was 2.6 in group 1 versus 7.3 in group 2 (
p = 0.04). Average number of intensive care unit days was 4.4 for group 1 versus 9.4 for group 2 (
p = 0.03). The number of days until discharge was 14 days for group 1 versus 20 days for group 2. Complications occurred in 40% of group 1 and 82% of group 2 patients. Overall mortality was 9.5%. Sternal resection and reconstruction, particularly complete sternal resections, are a major undertaking with substantial morbidity. Using a multidisciplinary approach (cardiothoracic, plastic and reconstructive, critical care medicine, and infectious disease) and aggressive pulmonary support, acceptable cosmetic and functional results are possible.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Bone Diseases - surgery</subject><subject>Bone Neoplasms - surgery</subject><subject>Breast Neoplasms - surgery</subject><subject>Child</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Funnel Chest - surgery</subject><subject>Humans</subject><subject>Infection - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>Prostheses and Implants</subject><subject>Retrospective Studies</subject><subject>Sternum - surgery</subject><subject>Surgical Flaps - methods</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UE1LAzEUDKLUWv0HCj2I6GE139lcBCl-QakH9RyyyVuIbHdrsiv4700_6NHTY97MvMcMQucE3xJM5B3GmBVcK3Gt2Y3GBNNicYDGRAhaSCr0IRrvJcfoJKWvDGmmR2hUcikZE2N0-d5DbG0zjZDA9aFrp7b1GbmuTX0cNqtTdFTbJsHZbk7Q59Pjx-ylmL89v84e5oXjrOyL2lvvmeRca1Zpz0osiHS1pg64tVwoyzXHQgqorVaycswrIlhFMeVWKc4m6Gp7dxW77wFSb5YhOWga20I3JKOEVKosaRbyrdDFLqUItVnFsLTx1xBs1uWYdXKzTm40M5tyzCLbLnb3h2oJfm_atZH5-y0POeRPgGiSC9A68CEX0hvfhf8f_AF5iXIW</recordid><startdate>19930401</startdate><enddate>19930401</enddate><creator>Mansour, Kamal A.</creator><creator>Anderson, Timothy M.</creator><creator>Hester, T.Roderick</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19930401</creationdate><title>Sternal resection and reconstruction</title><author>Mansour, Kamal A. ; Anderson, Timothy M. ; Hester, T.Roderick</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-fdadd3644993b9d380516cf92ce4aa457a4940565efa976bc3d7153b2024a7743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Bone Diseases - surgery</topic><topic>Bone Neoplasms - surgery</topic><topic>Breast Neoplasms - surgery</topic><topic>Child</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Funnel Chest - surgery</topic><topic>Humans</topic><topic>Infection - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications</topic><topic>Prostheses and Implants</topic><topic>Retrospective Studies</topic><topic>Sternum - surgery</topic><topic>Surgical Flaps - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mansour, Kamal A.</creatorcontrib><creatorcontrib>Anderson, Timothy M.</creatorcontrib><creatorcontrib>Hester, T.Roderick</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mansour, Kamal A.</au><au>Anderson, Timothy M.</au><au>Hester, T.Roderick</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sternal resection and reconstruction</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1993-04-01</date><risdate>1993</risdate><volume>55</volume><issue>4</issue><spage>838</spage><epage>843</epage><pages>838-843</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Twenty-one patients underwent sternal resection and reconstruction. Surgical indications included sternal infection in 9 patients, recurrent breast cancer in 6, metastatic carcinoma from an unknown primary in 2, pectus excavatum in 2, and osteogenic sarcoma and eosinophilic granuloma in 1 each. Management included partial sternectomy in 10 patients (group 1) and complete sternectomy in 11 (group 2). Chest wall reconstruction was by various flaps and mesh repairs. Blood transfusions averaged 2 units in group 1 versus 5.5 units in group 2 (
p = 0.02). Average number of days until exhibition was 2.6 in group 1 versus 7.3 in group 2 (
p = 0.04). Average number of intensive care unit days was 4.4 for group 1 versus 9.4 for group 2 (
p = 0.03). The number of days until discharge was 14 days for group 1 versus 20 days for group 2. Complications occurred in 40% of group 1 and 82% of group 2 patients. Overall mortality was 9.5%. Sternal resection and reconstruction, particularly complete sternal resections, are a major undertaking with substantial morbidity. Using a multidisciplinary approach (cardiothoracic, plastic and reconstructive, critical care medicine, and infectious disease) and aggressive pulmonary support, acceptable cosmetic and functional results are possible.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>8466335</pmid><doi>10.1016/0003-4975(93)90102-N</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Annals of thoracic surgery, 1993-04, Vol.55 (4), p.838-843 |
| issn | 0003-4975 1552-6259 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Bone Diseases - surgery Bone Neoplasms - surgery Breast Neoplasms - surgery Child Female Follow-Up Studies Funnel Chest - surgery Humans Infection - surgery Male Middle Aged Postoperative Complications Prostheses and Implants Retrospective Studies Sternum - surgery Surgical Flaps - methods |
| title | Sternal resection and reconstruction |
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