A Simple Modification of the Conventional Figure-of-Eight Sternal Closure Technique

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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Main Authors: Carlos Junior Toshiyuki Karigyo, Aldo Pesarini
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Cardiovascular
Series:Brazilian Journal of Cardiovascular Surgery
Subjects:
Sternum - Surgery
Mediastinitis
Steel
Bone Wires
Hospital Mortality
Wound Closure Techniques
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000400007&lng=en&tlng=en
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spelling doaj-bf383a5fa02a4352bbdd331221c7e8a62020-11-25T01:53:46ZengSociedade 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
collection DOAJ
language English
format Article
sources DOAJ
author Carlos Junior Toshiyuki Karigyo
Aldo Pesarini
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
author_facet Carlos Junior Toshiyuki Karigyo
Aldo Pesarini
author_sort Carlos Junior Toshiyuki Karigyo
title 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_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_sort simple modification of the conventional figure-of-eight sternal closure technique
publisher Sociedade Brasileira de Cirurgia Cardiovascular
series Brazilian Journal of Cardiovascular Surgery
issn 1678-9741
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.
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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