Surgical considerations in patients undergoing repeat median sternotomy
A retrospective review of 122 repeat median sternotomy incisions in 100 consecutive patients was made to evaluate complications and management. Eighty-one patients had one repeat sternotomy, )6 had two repeat sternotomies, and 3 had three repeat sternotomies. All had valve procedures in the past and...
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| Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 1975-01, Vol.69 (1), p.138-143 |
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| container_title | The Journal of thoracic and cardiovascular surgery |
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| creator | Macmanus, Q Okies, JE Phillips, SJ Starr, A |
| description | A retrospective review of 122 repeat median sternotomy incisions in 100 consecutive patients was made to evaluate complications and management. Eighty-one patients had one repeat sternotomy, )6 had two repeat sternotomies, and 3 had three repeat sternotomies. All had valve procedures in the past and were reoperated upon for progressive rheumatic valvular disease or for complications related to the prostheses. Complications included operative hemorrhage in 8 patients, postoperative hemorrhage in 2, seroma in 4, and dehiscence, wound infection, and hematoma in 1 patient each. The most serious complication was hemorrhage and was the cause of the only operative death. Seven other patients survived hemorrhage encountered during repeat sternotomy. Control of massive hemorrhage during repeat sternotomy has been possible due to an organized approach to the patient with adhesions from previous surgery. |
| doi_str_mv | 10.1016/s0022-5223(19)41621-8 |
| format | Article |
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Eighty-one patients had one repeat sternotomy, )6 had two repeat sternotomies, and 3 had three repeat sternotomies. All had valve procedures in the past and were reoperated upon for progressive rheumatic valvular disease or for complications related to the prostheses. Complications included operative hemorrhage in 8 patients, postoperative hemorrhage in 2, seroma in 4, and dehiscence, wound infection, and hematoma in 1 patient each. The most serious complication was hemorrhage and was the cause of the only operative death. Seven other patients survived hemorrhage encountered during repeat sternotomy. Control of massive hemorrhage during repeat sternotomy has been possible due to an organized approach to the patient with adhesions from previous surgery.</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/s0022-5223(19)41621-8</identifier><identifier>PMID: 1089175</identifier><language>eng</language><publisher>United States: AATS/WTSA</publisher><subject>Adolescent ; Adult ; Aged ; Cardiac Catheterization ; Child ; Female ; Heart Valve Diseases - surgery ; Heart Valve Prosthesis - adverse effects ; Hematoma - etiology ; Hemorrhage - etiology ; Hemorrhage - prevention & control ; Humans ; Hypothermia, Induced ; Male ; Methods ; Middle Aged ; Postoperative Complications - surgery ; Retrospective Studies ; Rheumatic Heart Disease - surgery ; Sternum - surgery ; Surgical Wound Dehiscence ; Surgical Wound Infection ; Suture Techniques ; Tissue Adhesions - etiology</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 1975-01, Vol.69 (1), p.138-143</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c382t-6c0012072674697ccc466522a073ad4c4915345e3b7826eb11ae1ac2f6d8b6223</citedby><cites>FETCH-LOGICAL-c382t-6c0012072674697ccc466522a073ad4c4915345e3b7826eb11ae1ac2f6d8b6223</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/1089175$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Macmanus, Q</creatorcontrib><creatorcontrib>Okies, JE</creatorcontrib><creatorcontrib>Phillips, SJ</creatorcontrib><creatorcontrib>Starr, A</creatorcontrib><title>Surgical considerations in patients undergoing repeat median sternotomy</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>A retrospective review of 122 repeat median sternotomy incisions in 100 consecutive patients was made to evaluate complications and management. Eighty-one patients had one repeat sternotomy, )6 had two repeat sternotomies, and 3 had three repeat sternotomies. All had valve procedures in the past and were reoperated upon for progressive rheumatic valvular disease or for complications related to the prostheses. Complications included operative hemorrhage in 8 patients, postoperative hemorrhage in 2, seroma in 4, and dehiscence, wound infection, and hematoma in 1 patient each. The most serious complication was hemorrhage and was the cause of the only operative death. Seven other patients survived hemorrhage encountered during repeat sternotomy. Control of massive hemorrhage during repeat sternotomy has been possible due to an organized approach to the patient with adhesions from previous surgery.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Cardiac Catheterization</subject><subject>Child</subject><subject>Female</subject><subject>Heart Valve Diseases - surgery</subject><subject>Heart Valve Prosthesis - adverse effects</subject><subject>Hematoma - etiology</subject><subject>Hemorrhage - etiology</subject><subject>Hemorrhage - prevention & control</subject><subject>Humans</subject><subject>Hypothermia, Induced</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Postoperative Complications - surgery</subject><subject>Retrospective Studies</subject><subject>Rheumatic Heart Disease - surgery</subject><subject>Sternum - surgery</subject><subject>Surgical Wound Dehiscence</subject><subject>Surgical Wound Infection</subject><subject>Suture Techniques</subject><subject>Tissue Adhesions - etiology</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1975</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1LAzEQhoMotVZ_QmFPoofVmexukj2KaBUKHqrgLWSz6TZlP2qyi_Tfm36gnuZleGfmnYeQKcIdArJ7D0BpnFGa3GB-myKjGIsTMkbIecxE9nlKxr-Wc3Lh_RoAOGA-IiMEkSPPxmS2GFxltaoj3bXelsap3gYV2TbaBGna3kdDG_pVZ9sqcmZjVB81prSqjXxvXNv1XbO9JGdLVXtzdawT8vH89P74Es_fZq-PD_NYJ4L2MdMASIFTxlOWc611ylgIqIAnqkx1mmOWpJlJCi4oMwWiMqg0XbJSFCw8MiHXh70b130NxveysV6bulat6QYvBeUMBIdgzA5G7TrvnVnKjbONcluJIHcA5WJHR-7oSMzlHqAUYW56PDAU4ct_U3tifwFWtlp9W2ekb1RdBzfKda89yyVKTETyA8vkeRw</recordid><startdate>19750101</startdate><enddate>19750101</enddate><creator>Macmanus, Q</creator><creator>Okies, JE</creator><creator>Phillips, SJ</creator><creator>Starr, A</creator><general>AATS/WTSA</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>19750101</creationdate><title>Surgical considerations in patients undergoing repeat median sternotomy</title><author>Macmanus, Q ; Okies, JE ; Phillips, SJ ; Starr, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c382t-6c0012072674697ccc466522a073ad4c4915345e3b7826eb11ae1ac2f6d8b6223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1975</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Cardiac Catheterization</topic><topic>Child</topic><topic>Female</topic><topic>Heart Valve Diseases - surgery</topic><topic>Heart Valve Prosthesis - adverse effects</topic><topic>Hematoma - etiology</topic><topic>Hemorrhage - etiology</topic><topic>Hemorrhage - prevention & control</topic><topic>Humans</topic><topic>Hypothermia, Induced</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Postoperative Complications - surgery</topic><topic>Retrospective Studies</topic><topic>Rheumatic Heart Disease - surgery</topic><topic>Sternum - surgery</topic><topic>Surgical Wound Dehiscence</topic><topic>Surgical Wound Infection</topic><topic>Suture Techniques</topic><topic>Tissue Adhesions - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Macmanus, Q</creatorcontrib><creatorcontrib>Okies, JE</creatorcontrib><creatorcontrib>Phillips, SJ</creatorcontrib><creatorcontrib>Starr, A</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 Journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Macmanus, Q</au><au>Okies, JE</au><au>Phillips, SJ</au><au>Starr, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical considerations in patients undergoing repeat median sternotomy</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>1975-01-01</date><risdate>1975</risdate><volume>69</volume><issue>1</issue><spage>138</spage><epage>143</epage><pages>138-143</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><abstract>A retrospective review of 122 repeat median sternotomy incisions in 100 consecutive patients was made to evaluate complications and management. 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| source | MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Adult Aged Cardiac Catheterization Child Female Heart Valve Diseases - surgery Heart Valve Prosthesis - adverse effects Hematoma - etiology Hemorrhage - etiology Hemorrhage - prevention & control Humans Hypothermia, Induced Male Methods Middle Aged Postoperative Complications - surgery Retrospective Studies Rheumatic Heart Disease - surgery Sternum - surgery Surgical Wound Dehiscence Surgical Wound Infection Suture Techniques Tissue Adhesions - etiology |
| title | Surgical considerations in patients undergoing repeat median sternotomy |
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