Journals on Cancer Medicine - BJSTR Journal

Abstract

Sternal dehiscence that may occur after an open heart surgery is a serious complication that may result in morbidity and mortality from pain in sternum and separation of wound lips to #pulmonary dysfunction, superficial and deep #mediastinal infection [1-4]. Sternal movement and instability may occur on the first day or weeks later after the surgery depending on the risk factors of the patient, sternal closure material or surgical technique. #Sternal closure materials are being used more frequently and increase the costs [5]. We are presenting a study where we closed the sternum of 20 patients in our clinic with a novel technique using a standard steel wire.Median #sternotomy is the most common incision for cardiac surgery. It provides safety and easy exposure for surgeon. Following the cardiac surgery by median sternotomy, sternum is closed by surgical steel wires. However post-operative mechanical sternal #dehiscence of sternum is still a frightening and devastating complication for both patients and surgeons. This may result ranging from increased postoperative pain to sternal wound infection and mediastinitis and readmissions in post-operative period.

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 A Novel and Low-Cost Modified Sternal Closure Technique in Open Heart Surgery (Yerebakan Technique) by Halit Yerebakan in BJSTR