Median sternotomy - gold standard incision for cardiac surgeons
Journal Title: Journal of Clinical and Investigative Surgery - Year 2016, Vol 1, Issue 1
Abstract
Sternotomy is the gold standard incision for cardiac surgeons but it is also used in thoracic surgery especially for mediastinal, tracheal and main stem bronchus surgery. The surgical technique is well established and identification of the correct anatomic landmarks, midline tissue preparation, osteotomy and bleeding control are important steps of the procedure. Correct sternal closure is vital for avoiding short- and long-term morbidity and mortality. The two sternal halves have to be well approximated to facilitate healing of the bone and to avoid instability, which is a risk factor for wound infection. New suture materials and techniques would be expected to be developed to further improve the patients evolution, in respect to both immediate postoperative period and long-term morbidity and mortality.
Authors and Affiliations
Radu Matache, Mihai Dumitrescu, Andrei Bobocea, Ioan Cordoș
Keywords
Related Articles
- EP ID EP198359
- DOI 10.25083/2559.5555.11.3340
- Views 123
- Downloads 0
Open versus arthroscopic surgery in acromioclavicular separation
Acromioclavicular separation is a very serious injury at the level of shoulder. Lesion of the acromioclavicular joint is a usual clinical condition because of its superficial situation. It is often involved in trauma of...
Heterotopic pancreatic tissue of the stomach leading to gastric diverticulum and upper gastro-intestinal bleeding
Heterotopic pancreatic tissue of the stomach is a rare condition. Gastric diverticulum is also a rare condition, mostly located at the fornix. Therefore, the existence of a pyloric gastric diverticulum containing a submu...
Use of WALLANT technique in hand surgery, safe and advantageous. Personal experience
Objectives. To confirm the efficiency of using local anesthesia with lidocaine and epinephrine in hand surgery. Materials and methods. 75 patients in whom we used local anesthesia with 1% lidocaine and epinephrine in sol...
Is adjuvant hysterectomy an option after radio-chemotherapy for locally advanced cervical cancer? A review.
Objective. The purpose of this paper is to review the current concepts in the literature regarding the beneficial effects of adjuvant surgery after concurrent radio-chemotherapy for locally advanced cervical cancer. Meth...
A case of silent colonic lesions associated with streptococcus gallolyticus, bacteremia and endocarditis
We present a clinical case of synchronous colonic lesions, histologically different, associated with streptococcus gallolyticus subsp. gallolyticus (Sgg)/ Streptococcus bovis biotype I, bacteremia and infective endocardi...