Efficacy and safety of bone wax to reduce sternal bleeding following coronary bypass surgery.

Abstract

OBJECTIVE:

To elucidate the effect of bone wax on postoperative bleeding, infection and wound healing.

METHODS:

This study included two independent groups, consisting of 94 patients who were treated with bone wax and 90 patients who received nothing after median sternotomy and just before sternal closure. Demographic and postoperative data were recorded. Both groups were compared with respect to the amount of postoperative drainage, blood transfusion requirement, re-exploration because of bleeding, and mortality rates.

RESULTS:

Demographic measurements did not differ between the groups. In the first two months of the postoperative period, mediastinitis was not seen in any of the patients in both groups. Superficial wound infection was detected in six patients (6.4%) in Group A. Eight patients (8.9%) suffered from superficial wound infection in Group B (p >0.05). In the first postoperative 24 hours, the average amount of postoperative drainage was 536.89 ml in Group A, whereas it was 529.67 ml in Group B (p >0.05). Three patients in both groups died in the early phase of the postoperative period (p >0.05).There was not any statistically significant difference between groups considering bleeding quantity, mortality, re-exploration, amount of blood used and deep sternal infection.

CONCLUSION:

Bone wax does not reduce bleeding on sternal sides. No evidence was found that application of bone wax causes deep sternal infection in patients having median sternotomy for coronary bypass surgery.

• Authors: Ahmet C Ozdemir, Koray Aykut
• Journal: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia (Ann Thorac Cardiovasc Surg) Vol. 20 Issue 3 Pg. 213-6 ( 2014) ISSN: 2186-1005 [Electronic] Japan
• PMID: 23575004 (Publication Type: Journal Article, Randomized Controlled Trial)

Chemical References

• Hemostatics
• Palmitates
• Waxes
• bone wax

Topics

• Aged
• Blood Transfusion
• Coronary Artery Bypass (adverse effects, mortality)
• Female
• Hemostatics (therapeutic use)
• Humans
• Male
• Mediastinitis (etiology, prevention & control)
• Middle Aged
• Palmitates (therapeutic use)
• Postoperative Hemorrhage (etiology, mortality, prevention & control)
• Reoperation
• Risk Factors
• Sternotomy (adverse effects, mortality)
• Surgical Wound Infection (etiology, prevention & control)
• Time Factors
• Treatment Outcome
• Waxes (therapeutic use)
• Wound Closure Techniques
• Wound Healing (drug effects)