Sternal Closure With An Absorbable Loop Suture İn Children

H.T. Keçeligil; F. Kolbakır,; A. Saraç; Z. Demir; E. İriz; M. Küsdül; İ. Demir

doi:10.5835/jecm.v16i3.705

Sternal Closure With An Absorbable Loop Suture İn Children

Year 1999, Volume: 16 Issue: 3, - , 23.12.2009

H.T. Keçeligil F. Kolbakır, A. Saraç Z. Demir E. İriz M. Küsdül İ. Demir

Abstract

The reliability of polydioxanone (PDS) suture for sternal closure was tested on 264 consecutive sternotomies in our department from April 1987 to May 1998. The reason of sternotomy was tetralogy of Fallot in 65 cases (24.62%), ventricular septal defect (VSD) in 38 cases (14. 39%), atrial septal defect (ASD) in 77 cases (29.16%), ASD+VSD in 23 (8.71%), mitral valve replacement in 22 cases (8.33%), aortic valve replacement in 10 cases (3.78%) and other cardiac disorders in 29 cases (10.98%). Sternal wound infection, sternal dehiscence and mediastinitis occurred in 1.51% of patients (4/264). The overall hospital mortality related to the mediastinitis was 1.13% (3/264) in the immediate postoperative period. This absorbable suture and our different technique are a safe alternative to standard sternotomy closure after pediatric cardiac surgery.

Çocuklarda Sternumun Absorbable Loop Sütür ile Kapatılması
Sternumun kapatılmasında, polydioxanone (PDS) sütür kullanımının uygunluğu, kliniğimizde Nisan 1987 ila Mayıs 1998 tarihleri arasındaki dönemde sternotomi uygulanan ardışık 264 hastada test edildi. Sternotomi uygulanan hastaların 65'i Fallot tet-ralojisi (%24.62), 38'i ventriküler septal defekt (%14.39), 77'si atrial septal defekt (%29.16), 23'ü ASD+VSD (%8.71), 22'si mitral kapak replasmanı (%8.36), 10'u aort kapak replasmanı (%3.78), 29'u çeşitli diğer kardiyak hastalıklar (%10.98) idi. Sternal yara infeksiyonu, sternal ayrışma ve mediastinite %1.51 oranında rastlandı (4/264). Erken postoperatif dönemdeki mediastinite bağlı hastane mortalitesi %1.13 olarak saptandı (3/264). Bu absorbe edilebilir sütür materyali ve kullandığımız farklı teknik, pe-diatrik kalb cerrahisinde standart sternotomi kapatılmasına güvenli bir alternatif olarak görünmektedir.

Keywords

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Year 1999, Volume: 16 Issue: 3, - , 23.12.2009

H.T. Keçeligil F. Kolbakır, A. Saraç Z. Demir E. İriz M. Küsdül İ. Demir

Abstract

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Details

Primary Language	English
Journal Section	Basic Medical Sciences
Authors	H.T. Keçeligil This is me F. Kolbakır, This is me A. Saraç This is me Z. Demir This is me E. İriz This is me M. Küsdül This is me İ. Demir This is me
Publication Date	December 23, 2009
Submission Date	December 14, 2009
Published in Issue	Year 1999 Volume: 16 Issue: 3

Cite

APA	Keçeligil, H., Kolbakır, F., Saraç, A., Demir, Z., et al. (2009). Sternal Closure With An Absorbable Loop Suture İn Children. Journal of Experimental and Clinical Medicine, 16(3). https://doi.org/10.5835/jecm.v16i3.705
AMA	Keçeligil H, Kolbakır, F, Saraç A, Demir Z, İriz E, Küsdül M, Demir İ. Sternal Closure With An Absorbable Loop Suture İn Children. J. Exp. Clin. Med. December 2009;16(3). doi:10.5835/jecm.v16i3.705
Chicago	Keçeligil, H.T., F. Kolbakır, A. Saraç, Z. Demir, E. İriz, M. Küsdül, and İ. Demir. “Sternal Closure With An Absorbable Loop Suture İn Children”. Journal of Experimental and Clinical Medicine 16, no. 3 (December 2009). https://doi.org/10.5835/jecm.v16i3.705.
EndNote	Keçeligil H, Kolbakır, F, Saraç A, Demir Z, İriz E, Küsdül M, Demir İ (December 1, 2009) Sternal Closure With An Absorbable Loop Suture İn Children. Journal of Experimental and Clinical Medicine 16 3
IEEE	H. Keçeligil, F. Kolbakır, A. Saraç, Z. Demir, E. İriz, M. Küsdül, and İ. Demir, “Sternal Closure With An Absorbable Loop Suture İn Children”, J. Exp. Clin. Med., vol. 16, no. 3, 2009, doi: 10.5835/jecm.v16i3.705.
ISNAD	Keçeligil, H.T. et al. “Sternal Closure With An Absorbable Loop Suture İn Children”. Journal of Experimental and Clinical Medicine 16/3 (December 2009). https://doi.org/10.5835/jecm.v16i3.705.
JAMA	Keçeligil H, Kolbakır, F, Saraç A, Demir Z, İriz E, Küsdül M, Demir İ. Sternal Closure With An Absorbable Loop Suture İn Children. J. Exp. Clin. Med. 2009;16. doi:10.5835/jecm.v16i3.705.
MLA	Keçeligil, H.T. et al. “Sternal Closure With An Absorbable Loop Suture İn Children”. Journal of Experimental and Clinical Medicine, vol. 16, no. 3, 2009, doi:10.5835/jecm.v16i3.705.
Vancouver	Keçeligil H, Kolbakır, F, Saraç A, Demir Z, İriz E, Küsdül M, Demir İ. Sternal Closure With An Absorbable Loop Suture İn Children. J. Exp. Clin. Med. 2009;16(3).