Overview of primary sternal closure techniques
Authors:
D. Nešpor; P. Fila; J. Černý; P. Němec
Authors‘ workplace:
Centrum kardiovaskulární a transplantační chirurgie Brno, ředitel: doc. MUDr. P. Němec, CSc., MBA, FETSC
Published in:
Rozhl. Chir., 2015, roč. 94, č. 2, s. 48-56.
Category:
Review
Overview
The aim of the overview study is to describe the currently used methods of primary median sternotomy closure in adult cardiac surgery.
In the review of published literature, we draw on the data and focus on the methodology, indications, advantages, limitations, biomechanical and clinical results of the different methods in relation to the incidence of deep sternal wound complications after median sternotomy in adult cardiac surgery.
Key words:
sternum − sternotomy − adult cardiac surgery − surgical procedures
Sources
1. Kun H, Xiubin Y. Median sternotomy closure: review and update research. Journal of Medical Colleges of PLA 2009;24:112–7.
2. Mauermann WJ, Sampathkumar P, Thompson RL. Sternal wound infections. Best Practice & Research Clinical Anaesthesiology 2008;22:423–36.
3. Kreitmann B, Riberi A, Metras D. Evaluation of an absorbable suture for sternal closure in pediatric cardiac surgery. J Cardiac Surgery 1992;7:254–6.
4. Schwab R, Hähnel J, Paek S, et al. Sternal Closure with Resorbable Synthetic Suture Material in Children. Thorac Cardiovasc Surg 1994;42:185–6.
5. Keçeligil HT, Kolbakır F, Akar H, Konuralp C, Demir Z, et al. Sternal closure with resorbable synthetic loop suture material in children. Journal of Pediatric 2000;35:1309–11.
6. Casha A. Fatigue testing median sternotomy closures. European Journal of Cardio-Thoracic Surgery 2001;19:249–53.
7. Casha A. A biomechanical study of median sternotomy closure techniques. European Journal of Cardio-Thoracic Surgery1999;15:365–9.
8. Luciani N, Anselmi A, Gandolfo F, et al. Polydioxanone sternal sutures for prevention of sternal dehiscence. J Cardiac Surgery 2006;21:580–4.
9. Mulch J, Stertmann W, Kling D, et al. Closure of longitudinal sternotomy with absorbable sutures. Thorac cardiovasc Surg 1986;34:191–3.
10. Van Sterkenburg S, Delariviere A, Vermeulen F. Sternal fixation with resorbable suture material. European Journal of Cardio-Thoracic Surgery 1990;4:345.
11. Usui A, Oshima H, Akita T, et al. Polydioxane (PDS) cord has insufficient reliability to securely close the sternum. The Journal of Thoracic and Cardiovascular Surgery 2006;131:1174–5.
12. Yang XN, Pastorino U. Are absorbable sutures inadequate to close the sternum? The Journal of Thoracic and Cardiovascular Surgery 2006;132:1503.
13. Dogan OF, Oznur A, Demircin M. A new technical approach for sternal closure with suture anchors (Dogan Technique). The Heart Surgery Forum 2004;7:E328–E32.
14. Ozaki W, Buchman SR, Iannettoni MD, et al Biomechanical study of sternal closure using rigid fixation techniques in human cadavers. The Annals of Thoracic Surgery 1998;65:1660–5.
15. Losanoff JE, Collier AD, Wagner-Mann CC, et al. Biomechanical comparison of median sternotomy closures. The Annals of Thoracic Surgery 2004;77:203–9.
16. Kiessling A-H, Isgro F, Weisse U, et al. Advanced sternal closure to prevent dehiscence in obese patients. The Annals of Thoracic Surgery 2005;80:1537–9.
17. Shaikhrezai K, Robertson FL, Anderson SE, et al. Does the number of wires used to close a sternotomy have an impact on deep sternal wound infection? Interact CardioVasc Thorac Surg 2012;15:219–22.
18. Kamiya H, Al-maisary SSA, Akhyari P, et al. The number of wires for sternal closure has a significant influence on sternal complications in high-risk patients. Interact CardioVasc Thorac Surg 2012;15:665–70.
19. Glennie S, Shepher D, Jutley R. Strength of wired sternotomy closures: effect of number of wire twists. Interact CardioVasc Thorac Surg 2003;2:3–5.
20. Schimmer C, Reents W, Berneder S, et al. Prevention of sternal dehiscence and infection in high-risk patients: A prospective randomized multicenter trial. The Annals of Thoracic Surgery 2008;86:1897–1904.
21. Fedak PWM, Kolb E, Borsato G, et al. Kryptonite bone cement prevents pathologic sternal displacement. The Annals of Thoracic Surgery 2010;90:979–85.
22. Bayramoglu Z, Durak Y, Bayram M, et al. Bone cement-enhanced sternal closure technique in cardiac surgery: effects on sternal union, pain and life quality. Journal of Cardiothoracic Surgery 2013;8:182.
23. Zurbrügg HR, Freestone T, Bauer M, et al. Reinforcing the conventional sternal closure. The Annals of Thoracic Surgery 2000;69:1957–8.
24. Jutley RS, Shepherd D, Hukins D, et al. Sternum screw: analysis of a novel approach to the closure of the chest after surgery. Heart Surg Forum 2002;5:69–74.
25. Rainer A, Spadaccio C, Sedati P, et al. Electrospun hydroxyapatite-functionalized PLLA scaffold: Potential applications in sternal bone healing. Annals of Biomedical Engineering 2011;39:1882–90.
26. Saito T, Iguchi A, Sakurai M, et al. Biomechanical study of a poly-L-lactide (PLLA) sternal pin in sternal closure after cardiothoracic surgery. The Annals of Thoracic Surgery 2004;77:684–7.
27. Cheng W, Cameron DE, Warden KE, et al. Biomechanical study of sternal closure techniques. The Annals of Thoracic Surgery 1993;55:737–40.
28. Grapow MT, Melly LF, Eckstein FS, et al. A new cable-tie based sternal closure system: description of the device, technique of implantation and first clinical evaluation. Journal of Cardiothoracic Surgery 2012;7:59.
29. Franco S, Herrera AM, Atehortua M, et al. Use of steel bands in sternotomy closure: implications in high-risk cardiac surgical population. Interact CardioVasc Thorac Surg 2008;8:200–5.
30. Bhattacharya S, Sau I, Mohan M, et al. Bands for closure of midline sternotomy leads to better wound healing. Asian Cardiovascular and Thoracic Annals 2007;15:59–63.
31. Soroff HS, Hartman AR, Pak E, et al. Improved sternal closure using steel bands: Early experience with three-year follow-up. The Annals of Thoracic Surgery 1996;61:1172–6.
32. Puc MM, Antinori CH, Villanueva DT, et al. Ten-year experience with Mersilene-reinforced sternal wound closure. The Annals of Thoracic Surgery [2000;70:97–9.
33. Cohen CDJ, Griffin LV. A biomechanical comparison of three sternotomy closure techniques. The Annals of Thoracic Surgery 2002;73:563–8.
34. Losanoff JE, Richman BW, Jones JW, et la. Which is the best sternotomy closure technique? The Annals of Thoracic Surgery 2003;75:1065.
35. Wangsgard C, Cohen DJ, Griffin LV. Fatigue testing of three peristernal median sternotomy closure techniques. Journal of Cardiothoracic Surgery 2008;3:52.
36. Eich BS, Heinz TR. Treatment of sternal nonunion with the Dall-Miles cable System. Plastic and Reconstructive Surgery 2000;106:1075–8.
37. McGiffin DC, Alonso JE, Zorn GL, et al. Sternal approximation for bilateral anterolateral transsternal thoracotomy for lung transplantation. The Annals of Thoracic Surgery 2005;79:e19–e20.
38. Marissen R. A comparison between the mechanical behaviour of steel wires and ultra high molecular weight poly ethylene cables for sternum closure. MSA 2011;02:1367–74.
39. Song DH, Lohman RF, Renucci JD, et al. Primary sternal plating in high-risk patients prevents mediastinitis. European Journal of Cardio-Thoracic 2004;26:367–72.
40. Jirásek V, Škuřil A, Marounek J, a kol. Výsledky primárních a sekundárních sutur sterna s použitím dlahové osteosyntézy – soubor 40 pacientů. Abstrakt. 63. V. sjezd České společnosti kardiovaskulární chirurgie, Brno 2012.
41. Wu LC, Renucci JD, Song DH. Sternal nonunion: A review of current treatments and a new method of rigid fixation. Annals of Plastic Surgery 2005;54:55–8.
42. Kaláb M, Molitor M, Kubešová B, et al. Use of allogenous bone graft and osteosynthetic stabilization in treatment of massive post-sternotomy defects. Eur J Cardiothorac Surg 2012;41: e182–e4.
43. Graf K, Ott E, Vonberg R-P, et al. Economic aspects of deep sternal wound infections. European Journal of Cardio-Thoracic Surgery 2010;37:893–6.
44. Levin LS, Miller AS, Gajjar AH, et al. An Innovative Approach for Sternal Closure. The Annals of Thoracic Surgery 2010;89:1995–9.
45. Fila P, Ondrášek J. Flexigrip – první zkušenosti s používáním termoreaktivních svorek při uzávěru sterna. Abstrakt. 10. 2. sjezd České společnosti kardiovaskulární chirurgie, Brno, 2006.
46. Bennett-Guerrero E, Phillips-Bute B, Waweru PM, et al. Pilot study of sternal plating for primary closure of the sternum in cardiac surgical patients. Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 2011;6:382–8.
47. Bejko J, Tarzia V, De Franceschi M, et al. Nitinol flexigrip sternal closure system and chest wound infections: Insight from a comparative analysis of complications and costs. The Annals of Thoracic Surgery 2012;94:1848–53.
48. Orgill DP. Surgical management of sternal wound complications. Dostupné na http://www.uptodate.com/contents/surgical-management-of-sternal-wound-complications.
49. Careaga Reyna G, Aguirre Baca GG, Medina Concebida LE, at al. Risk factors for mediastinitis and sternal dehiscence after cardiac surgery. Revista Española de Cardiología (English Edition) 2006;59:130–5.
50. Immer FF, Durrer M, Mühlemann KS, et al. Deep sternal wound infection after cardiac surgery: Modality of treatment and outcome. The Annals of Thoracic Surgery 2005;80:957–61.
51. Borger MA, Rao V, Weisel RD, et al. Deep sternal wound infection: Risk factors and outcomes. The Annals of Thoracic Surgery 1998;65:1050–6.
52. McGregor WE, Trumble DR, Magovern JA. Mechanical analysis of midline sternotomy wound closure. The Journal of Thoracic and Cardiovascular Surgery 1999;117:1144–50.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2015 Issue 2
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