A Simple Modification of the Conventional Figure-of-Eight Sternal Closure Technique
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...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
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| Series: | Brazilian Journal of Cardiovascular Surgery |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000400007&lng=en&tlng=en |
| _version_ | 1817991588870094848 |
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| author | Carlos Junior Toshiyuki Karigyo Aldo Pesarini |
| author_facet | Carlos Junior Toshiyuki Karigyo Aldo Pesarini |
| author_sort | Carlos Junior Toshiyuki Karigyo |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-14T01:15:18Z |
| format | Article |
| id | doaj.art-bf383a5fa02a4352bbdd331221c7e8a6 |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-04-14T01:15:18Z |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-bf383a5fa02a4352bbdd331221c7e8a62022-12-22T02:20:53ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-974134440641110.21470/1678-9741-2018-0244S0102-76382019000400007A Simple Modification of the Conventional Figure-of-Eight Sternal Closure TechniqueCarlos Junior Toshiyuki KarigyoAldo PesariniAbstract 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000400007&lng=en&tlng=enSternum - SurgeryMediastinitisSteelBone WiresHospital MortalityWound Closure Techniques |
| spellingShingle | Carlos Junior Toshiyuki Karigyo Aldo Pesarini A Simple Modification of the Conventional Figure-of-Eight Sternal Closure Technique Brazilian Journal of Cardiovascular Surgery Sternum - Surgery Mediastinitis Steel Bone Wires Hospital Mortality Wound Closure Techniques |
| title | A Simple Modification of the Conventional Figure-of-Eight Sternal Closure Technique |
| title_full | A Simple Modification of the Conventional Figure-of-Eight Sternal Closure Technique |
| title_fullStr | A Simple Modification of the Conventional Figure-of-Eight Sternal Closure Technique |
| title_full_unstemmed | A Simple Modification of the Conventional Figure-of-Eight Sternal Closure Technique |
| title_short | A Simple Modification of the Conventional Figure-of-Eight Sternal Closure Technique |
| title_sort | simple modification of the conventional figure of eight sternal closure technique |
| topic | Sternum - Surgery Mediastinitis Steel Bone Wires Hospital Mortality Wound Closure Techniques |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000400007&lng=en&tlng=en |
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