We describe an improved technique for sternal closure which is performed using combined single and double-cross steel wires. We made a mechanical study of these single and double-cross shapes considering the effects of applied transverse and longitudinal shearing forces. METHODS: We used this technique in 80 patients who underwent coronary surgery with the use of bilateral internal mammary arteries. RESULTS: Among them no major wound complications occurred, and in all cases a firm stabilization of the sternum was achieved. CONCLUSIONS: We therefore consider this technique of sternal closure easy, safe and effective, also in patients considered at risk for sternal dehiscence.
Combined use of single and double-cross steel wires for closure of midline sternotomy / Mariani, M. A.; Vaccari, G.; Marullo, Antonino; Cevenini, G.; Tripodi, A.; Lisi, G.; Mazzesi, G.; Mezzacapo, B.; Sani, G.; Toscano, Michele. - In: JOURNAL OF CARDIOVASCULAR SURGERY. - ISSN 0021-9509. - STAMPA. - 39:6(1998), pp. 833-837.
Combined use of single and double-cross steel wires for closure of midline sternotomy
MARULLO, Antonino;G. Mazzesi;TOSCANO, Michele
1998
Abstract
We describe an improved technique for sternal closure which is performed using combined single and double-cross steel wires. We made a mechanical study of these single and double-cross shapes considering the effects of applied transverse and longitudinal shearing forces. METHODS: We used this technique in 80 patients who underwent coronary surgery with the use of bilateral internal mammary arteries. RESULTS: Among them no major wound complications occurred, and in all cases a firm stabilization of the sternum was achieved. CONCLUSIONS: We therefore consider this technique of sternal closure easy, safe and effective, also in patients considered at risk for sternal dehiscence.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.