Does Sternal Cable System Prevent Sternal Complications after Revision Sternal Surgery?
| Autor: | Ufuk Tütün, Sıtkı Akın Turan, Levent Altinay, Görkem Yiğit, Anıl Tekin, Anil Ozen, Elif Coşkun Sungur |
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| Rok vydání: | 2021 |
| Předmět: |
Reoperation
Sternum medicine.medical_specialty medicine.medical_treatment Balloon Extracorporeal Reconstruction surgery law.invention law Surgical Wound Dehiscence Cardiopulmonary bypass Humans Medicine cardiovascular diseases Retrospective Studies business.industry Significant difference Retrospective cohort study General Medicine musculoskeletal system Sternotomy Surgery body regions surgical procedures operative Median sternotomy Case-Control Studies business Bone Wires |
| Zdroj: | Journal of the College of Physicians and Surgeons Pakistan. 31:1069-1074 |
| ISSN: | 1681-7168 1022-386X |
| Popis: | Objective To determine the efficacy of a sternal wire system in secondary sternal dehiscence after repeat closure of the sternum, following surgical revision after open heart surgery. Study design Case-control study. Place and duration of study Department of Cardiovascular Surgery, Zonguldak Bulent Ecevit University, Zonguldak, Turkey; and Turkey Yuksek Ihtisas Training and Research Hospital, Turkey, from January 2015 to May 2019. Methodology Patients, who underwent open heart surgery with median sternotomy, were included in this retrospective study. The patients were divided into two groups, according to the sternal closure material. The time of the sternal reconstruction surgery, because of sternal dehiscence, fracture, broken sternal wire(s) or cable(s) after the first revision surgery, was noted for each patient. Results A total of 389 patients were identified. Group 1 included 72 (50%) patients whose sternums were closed with a sternal cable system; and Group 2 included 72 (50%) patients whose sternums were closed with conventional steel wires after propensity matching. The duration of cardiopulmonary bypass, number of intra-aortic balloon pumps used, and number of extracorporeal membrane oxygenators used were significantly higher in Group 1 (p = 0.007, p = 0.034, and p = 0.028, respectively). The number of emergency operations was significantly higher in Group 2 (p = 0.021). There was no significant difference in terms of secondary sternal dehiscence between the groups (p = 0.366). Conclusion Application of the sternal wire system in revisional open heart surgery is not more effective than conventional steel wire at preventing secondary sternal dehiscence. Key Words: Sternal dehiscence, Sternal cable, Sternal wire, Open heart surgery, Postoperative revision. |
| Databáze: | OpenAIRE |
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