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Interlocking sternotomy: initial experience.

Abstract
An interlocking sternotomy using a lazy-S-shaped incision was performed in 91 patients undergoing cardiac surgical procedures (group A). The results were compared with those of 77 patients (group B) who underwent a standard sternotomy by the same surgical team. In group A, the incidence of sternal instability was 2.27% (2/88) versus 8.21% (6/73). No dehiscence or mediastinitis was noted in group A, whereas 6.85% (5/73) in group B had this complication. Analysis of diabetics revealed no sternal complication in group A compared to 50% (3/6) in group B. The interlocking sternotomy significantly reduced the incidence of sternal instability and helped to prevent sternal dehiscence and mediastinitis. Use of this safe, simple, and reproducible technique is strongly recommended, especially in diabetics.
AuthorsRaja Joshi, Smartin Abraham, Arkalgud Sampath Kumar
JournalAsian cardiovascular & thoracic annals (Asian Cardiovasc Thorac Ann) Vol. 12 Issue 1 Pg. 16-8 (Mar 2004) ISSN: 0218-4923 [Print] England
PMID14977735 (Publication Type: Comparative Study, Journal Article)
Topics
  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Blood Loss, Surgical (physiopathology)
  • Cardiac Surgical Procedures (methods, mortality)
  • Child
  • Female
  • Humans
  • Incidence
  • Male
  • Mediastinitis (diagnosis, epidemiology)
  • Middle Aged
  • Probability
  • Prognosis
  • Prospective Studies
  • Risk Assessment
  • Sex Distribution
  • Sternum (surgery)
  • Surgical Wound Dehiscence (epidemiology, etiology)
  • Surgical Wound Infection (epidemiology, etiology)
  • Survival Rate
  • Suture Techniques
  • Thoracotomy (adverse effects, methods)
  • Wound Healing (physiology)

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