Sternal cable wires for sternal closure in moderately or extremely obese patients undergoing cardiac surgery
Journal Title: The European Research Journal - Year 2018, Vol 4, Issue 4
Abstract
Objectives: Sternal dehiscence is a frequent complication after cardiac surgery. Our study focused on the efficiency of a sternal cable system combined with conventional steel wires for sternal fixation in patients suffering from moderate or extreme obesity and undergoing cardiac surgery. Methods: Prospectively collected data from 22 male and 41 female patients (a mean body mass index [BMI] of 37.9 ± 2.5 kg/m2) who underwent major cardiac surgery via median sternotomy and sternal closure using a multifilament sternal cable system were retrospectively reviewed and analyzed. Results: All patients were closed with a conjunction of two sternal cables and two traditional steel wires. There were two mortalities. There were no occurrences of sternal dehiscence or deep mediastinitis. Three patients suffered superficial sternal wound infections. The mean hospitalization time was 8.4 ± 2.5 days. Conclusion: Our study showed that our surgical technique using a sternal cable system in combination with conventional wires decreased the incidence of sternal dehiscence in moderately and extremely obese patients.
Authors and Affiliations
Yusuf Ata, Ufuk Aydın, Ahmet Kağan As, Kadir Kaan Özsin, Orhan Fındık, Tamer Türk
Keywords
Related Articles
- EP ID EP408586
- DOI 10.18621/eurj.429502
- Views 84
- Downloads 0
Evidence-based medicine and needs based medicine
No abstract available.
The relationship between atherogenic index of plasma and major risk factors of cardiovascular disease in obese and non-obese individuals
Objectives: Obesity is a health problem with gradually increasing prevalence and directly contribute to the development of cardiovascular disease (CVD). We aimed to investigate the relationship between atherogenic index...
Local resection for placenta accreta spectrum: a conservative uterus sparing technique for anterior placenta accreta
Objective: To evaluate and describe a surgical approach for uterine preservation and management of postpartum hemorrhage in placenta accreta spectrum (PAS). Methods: We analyzed the data of patients who were diagnosed w...
Effect of coronary artery bypass surgery on ventricular functions in patients with poor left ventricular function
Objectives: The aim of the present study was to compare preoperative / postoperative ventricular functions of patients with ventricular dysfunction who were planned for coronary artery bypass grafting (CABG) using echoca...
Regenerative effect of platelet-rich fibrin on articular cartilage defects in an experimental rat model
Objectives: Different materials are currently being used experimentally to accelerate cartilage healing and to obtain hyaline cartilage. We aimed to investigate the effect of platelet-rich fibrin on joint cartilage heali...