Sternal closure with absorbable pins and cords in general thoracic surgery

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• 作者：Mitsuaki Kawashima ; Atsushi Sano ; Makoto Tanaka
• 关键词：Sternum ; Sternotomy ; Thoracic surgery
• 刊名：Surgery Today
• 出版年：2015
• 出版时间：July 2015
• 年：2015
• 卷：45
• 期：7
• 页码：929-931
• 全文大小：560 KB
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  5.Usui A, Oshima H, Akita T, Ueda Y. Polydioxane (PDS) cord has insufficient reliability to securely close the sternum. J Thorac Cardiovasc Surg. 2006;131:1174鈥?.PubMed View Article
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  7.Tsunekawa T, Usui A, Oshima H, Mizutani S, Araki Y, Okada N, et al. A bioresorbable osteosynthesis device can induce an earlier sternal fusion after median sternotomy. Interact Cardiovasc Thorac Surg. 2012;15:377鈥?1.PubMed Central PubMed View Article
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  9.Zor MH, Acipayam M, Bayram H, Oktar L, Erdogan M, Darcin OT. Single-stage repair of the anterior chest wall following sternal destruction complicated by mediastinitis. Surg Today. 2014;44:1476鈥?2.PubMed View Article
  
• 作者单位：Mitsuaki Kawashima (1)
  Atsushi Sano (1)
  Makoto Tanaka (1)
  
  1. Department of Thoracic Surgery, Chigasaki Municipal Hospital, Honson 5-15-1, Chigasaki, Kanagawa, 253-0042, Japan
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Surgery
  Abdominal Surgery
  Thoracic Surgery
  Vascular Surgery
  Cardiac Surgery
  Surgical Oncology
  
• 出版者：Springer Japan
• ISSN：1436-2813

文摘

After median sternotomy, the sternum is commonly closed using metal wires, which sometimes cause complications because they are permanent foreign bodies. As an alternative, we used a combination of absorbable sutures and pins for full median sternotomy in 24 adult general thoracic surgery patients. There were three cases of sternal dehiscence detectable by computed tomography, none of which required re-operation. Two of these patients had diabetes mellitus (DM) and the third patient was on corticosteroid therapy. In an appropriately selected patient population that excludes patients with DM or who are undergoing corticosteroid therapy, we have not observed any sternal complications. We concluded that our technique is clinically feasible with appropriate patient selection.