Sternal cable wires for sternal closure in moderately or extremely obese patients undergoing cardiac surgery

Yıl 2018, Cilt: 4 Sayı: 4, 308 - 313, 04.10.2018

Yusuf Ata Ufuk Aydın Ahmet Kağan As Kadir Kaan Özsin Orhan Fındık Tamer Türk

https://doi.org/10.18621/eurj.429502

Cited By: 1

Öz

Objectives:
Sternal dehiscence is a frequent complication after
cardiac surgery. Our study focused on the efficiency of
a sternal cable system combined with conventional steel wires for sternal
fixation in patients suffering from
moderate or extreme obesity and undergoing cardiac surgery.

Methods: Prospectively
collected data from 22 male and 41 female patients (a mean body mass index [BMI] of 37.9 ± 2.5 kg/m²) who
underwent major cardiac surgery via median sternotomy and sternal closure using
a multifilament sternal cable system were retrospectively reviewed and
analyzed.

Results: All
patients were closed with a conjunction of two sternal cables and two
traditional steel wires. There were two mortalities. There were no occurrences
of sternal dehiscence or deep mediastinitis. Three patients suffered
superficial sternal wound infections. The mean hospitalization time was 8.4 ± 2.5
days.

Conclusion: Our
study showed that our surgical technique using a sternal cable system in
combination with conventional wires decreased the incidence of sternal
dehiscence in moderately and extremely obese patients. 

Anahtar Kelimeler

Sternal dehiscence, cardiac surgery, obesity

Kaynakça

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