Julian's reintroduction of Milton's operation

Dalton, Martin L.; Connally, Samuel R.; Sealy, Will C.

doi:10.1016/0003-4975(92)90293-d

Cited by 64 publications

(47 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Longitudinal median sternotomy is the most common surgical approach employed in cardiac procedures 1 because it is readily performed, allows full exposure of the mediastinum, presents a low incidence of morbidity and mortality, and is well tolerated by patients in the postoperative period. However, despite the various advantages of the technique, serious complications, including life-threatening mediastinitis, may arise.…”

Section: Introductionmentioning

confidence: 99%

Scintigraphic imaging with technetium-99M-labelled ceftizoxime is a reliable technique for the diagnosis of deep sternal wound infection in rats

et al. 2015

View full text Add to dashboard Cite

PURPOSE:To evaluate whether scintigraphy with technetium-99m-labeled ceftizoxime ( Tc-CFT to infected sternums was greater than to their non-infected counterparts. Mean counts of radioactivity in bacteria-infected sternal regions (SB and SWB) were significantly higher (p = 0.0007) than those of the respective controls (S and SW). CONCLUSION:Scintigraphy with technetium-99m-labeled ceftizoxime is a method that can potentially detect infection post sternotomy and differentiate from aseptic inflammation in animals experimentally inoculated with S. aureus.

show abstract

Section: Introductionmentioning

confidence: 99%

Scintigraphic imaging with technetium-99M-labelled ceftizoxime is a reliable technique for the diagnosis of deep sternal wound infection in rats

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Sternotomy provides excellent access to the heart and great vessels since it was first introduced by Julian et al in 1957 [5]. However it is associated with many complications such as sternal dehiscence and mediastinitis that cause tremendous morbidity, mortality and cost.…”

Section: Discussionmentioning

confidence: 99%

Early Repair of Sternal Instability Prevents Mediastinitis

Aykut¹,

Albayrak²,

Kavala³

et al. 2014

WJCS

View full text Add to dashboard Cite

Background: Discharge due to superficial wound infection and sternal dehiscence are the common complications of median sternotomy. This condition leads to mediastinitis. Mediastinitis is a serious condition which increases morbidity, mortality and hospital costs. The correct time for surgical treatment is contraversial in cases who have sternal dehiscence and discharge due to superficial infection. In this study, patients received sternal stabilization as soon as a diagnosis was made and monitored for the development of mediastinitis. Methods: Among the 1440 patients who had undergone elective CABG, a total of 85 patients who developed sternal dehiscence and superficial wound discharge were included in this study. These patients were re-operated on as soon as diagnosed and early sternal stabilization was provided. Results: The ratio of overall dehiscence was 5.9%. Mediastinitis developed in only 2 of the 85 patients. These patients were treated with VAC (Vacuum Assisted Closure) therapy. The ratio of overall mediastinitis was 0.13. Mediastinitis-related mortality was not detected. Conclusion: The ratio of mediastinitis decreases when patients who have discharge due to sternal dehiscence and superficial wound infection are immediately reviewed without waiting for the results of conventional methods such as antibiotic treatment and chest binder support.

show abstract

“…Dr. Ormand Julian, a surgeon at the University of Illinois at Chicago popularized the median sternotomy for all cardiac operations. He subsequently moved to Rush Presbyterian Medical Center and used his prominence there to push this concept [7] (Figure 2). …”

Section: Introductionmentioning

confidence: 99%

Access to the Heart – Evolution of surgical techniques

Raman¹

2015

Glob Surg

View full text Add to dashboard Cite

Access to the heart and closure of the resultant incisions and wounds have been considered major impediments to the growth of cardiac surgery. Nevertheless, during the 1980s and 1990s, the sternotomy was the most commonly performed surgical access procedure in the world. We discuss the evolution of various techniques to allow access to the heart and surrounding structures. Methods of closure of these incisions are also highlighted as these techniques evolve.

show abstract

Julian's reintroduction of Milton's operation

Cited by 64 publications

References 3 publications

Scintigraphic imaging with technetium-99M-labelled ceftizoxime is a reliable technique for the diagnosis of deep sternal wound infection in rats

Scintigraphic imaging with technetium-99M-labelled ceftizoxime is a reliable technique for the diagnosis of deep sternal wound infection in rats

Early Repair of Sternal Instability Prevents Mediastinitis

Access to the Heart – Evolution of surgical techniques

Contact Info

Product

Resources

About