Braided Polyester versus Standard Wire in Sternal Closure in High Risk Patients
| Autor: | Fouad M. Rasekh, Ahmed S. Mahmoud M |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
animal structures High risk patients Adult patients business.industry musculoskeletal system medicine.disease Mediastinitis law.invention Surgery body regions surgical procedures operative law Sternal dehiscence Sternal infection Cardiopulmonary bypass Medicine Outpatient clinic cardiovascular diseases business |
| Zdroj: | The Egyptian Journal of Hospital Medicine. 81:2368-2370 |
| ISSN: | 2090-7125 |
| Popis: | Objective: The aim of this study was to compare braided polyester sternal closure versus standard wire closure in high-risk patients who are more susceptible to have deep sternal wound infections and mediastinitis after cardiac surgeries. Patients and Methods: Between February 2017 and December 2019 risk factors for postoperative deep wound infections and mediastinitis and mortality was collected for 100 adult patients undergoing open-heart surgery under cardiopulmonary bypass. Patients were divided to two groups, those who underwent sternal closure using either braided polyester or standard metal wire. Follow-up data on sternal wound healing and deep sternal wound infections were assessed for up to two months after surgery in the Outpatient Clinics. Results: The followingriskfactors wereassociatedwithahigherincidenceofdeepsternalwoundinfectionsandmediastinitis in both groups. There was no mortality in both groups, the number of deep sternal infection and mediastinitis with sternal dehiscence was 4 patients from group A (Ethibond) and 5 from group B (standard wire). Conclusion: This study showed that braided polyester could be used safely in sternal closure the same as standard wire in high risk patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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