Polydioxanone Sternal Sutures for Prevention of Sternal Dehiscence

Luciani, Nicola; Anselmi, Amédéo; Gandolfo, Fabrizio; Gaudino, Mario; Nasso, Giuseppe; Piscitelli, Mariantonietta; Possati, Gianfederico

doi:10.1111/j.1540-8191.2006.00302.x

Cited by 15 publications

(21 citation statements)

References 10 publications

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“…Although there are different approaches to sternal closure, Figure-of-8 suturing is believed to be more secure and less likely to cut the sternum, because of redistribution of shearing forces compared to simple interrupted closure. 17,18 …”

Section: Discussionmentioning

confidence: 99%

Evaluation of Sternal Closure with Absorbable Polydioxanone Sutures in Children

Bigdelian

Sedighi

2014

Journal of Cardiovascular and Thoracic Research; ISSN 2008-6830

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Section: Discussionmentioning

confidence: 99%

Evaluation of Sternal Closure with Absorbable Polydioxanone Sutures in Children

Bigdelian

Sedighi

2014

Journal of Cardiovascular and Thoracic Research; ISSN 2008-6830

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“…We removed the sternal wires step by step under local anesthesia and fixed lower sternum by two polydioxanone sutures. 7 Following days, the drainage volume decreased gradually, wound healed and dehiscence recovered completely after three months.…”

Section: A Amentioning

confidence: 96%

Sternal Steel Wire Induced Persistant Intermittan Mediastinal Wound Drainage After CABG

Ata¹,

Boylu²

2018

Turkiye Klinikleri J Case Rep

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tainless steel wire suture is a standard approach to approximate sternum for median sternotomy patients because of it's safe, fast and inexpensive features since first discribed by Milton in 1897.8 Sternal wound infection, sternal dehiscence and bony nonunion are among the complications mostly reported. Few cases were reported about persistent sternal pain because of hypersensitivity which required removal of sternal wires. 2,3Compared with other published cases, this clinical case report is characterised intermittant persistant wound drainage from multiple small holes on the sternotomy incision without pain, repeated wound cultures were negative and no laboratory evidence was found indicating mediastinitis.Intermittan Mediastinal Wound Drainage after CABG: Case Report A AB BS ST TR RA AC CT T Delayed mediastinal wound drainage due to hypersensitivity to stainless steel sternal wire is very rare conditions in post sternotomy patients. In literature, although some cases reported about treatment by removing the sternal wires because of persistant chest pain due to hypersensitivity, it is rarely reported about conditions that persistant wound drainage from sternal incision due to reactions to strnal wires. We present such a complicated case about these who developed tissue overgranulation and sternal dehiscence and persistent intermittant sternal wound drainage for about twelve months after emergency CABG. Repeated wound cultures were negative and no laboratory evidence was founded indicating mediastinitis. We believe there are no previously published papers in literature describing and managing condition like this.K Ke ey yw wo or rd ds s: : Coronery artery bypass; drainage; stainless steel; mediastinitis; surgical wound dehiscence Ö ÖZ ZE ET T Sternotomi sonrası sternum tellerine aşırı duyarlılık nedeni ile mediastende gelişen uzamış akıntı çok nadir görülen bir durumdur. Sternum tellerine karşı aşırı duyarlılık nedeni ile göğüs ağrısı geçmeyen hastalarda sternum tellerinin çıkartılarak tedavi edildiğine ait bazı literatür bulunmasına karşın sternum tellerine karşı reaksiyon nedeni ile sternum insizyon yeri üzerinde geç-meyen akıntısı olan hastalar çok nadır rapor edilmiştir. Acil koroner arter bypass ameliyatı sonrası sternum telleri üzerinde aşırı granülasyon dokusu oluşan ve dehiscence gelişen bu komplike vakada mediastinit bulgusu olmaksızın yaklaşık 12 ay boyunca insizyon üzerinden akıntısı devam etmiştir. Benzer olguların tanımı ve tedavi yöntemi ile ilgili daha önce literatürde yayınlanmış rapor olmadığı kanısındayız.A An na ah ht ta ar r K Ke el li im me el le er r: : Koroner arter bypass; akıntı; paslanmaz çelik; mediastinit; cerrahi yara açılması A Ar rt ti ic cl le e i in n P Pr re es ss s

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“…In this study, present fi ndings suggest that the most commonly used sternal closure techniques, fi gureof-eight technique and simple wire technique, may have similar outcomes in terms of development and prognosis of nonmicrobial dehiscence in patient undergoing isolated on-pump CABG operations. Luciani et al used polydiaxanone suture alone in high risk patients and addressed lower incidence of aseptic dehiscence then conventional wire sutured patients (14) . Hamaji et al studied reinforced closure of the sternum with absorbable pins for high-risk patients, and decreased sternal complications (5) .…”

Section: Discussionmentioning

confidence: 99%

Effects of Polyglyconate (Maxon) Suture Reinforced Sternum Closure Technique on Aseptic Sternal Dehiscence in High Risk Patients

Ata¹,

Dereli²

2015

Kosuyolu Heart Journal

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Despite improvements in surgical techniques, anesthesia and antibiotic treatment, postoperative sternal dehiscence still represents a signifi cant and serious complication after cardiac operations. Treatment of this condition is both time and economic resource consuming process. The origin of this condition has multiple causes and includes factors such as obesity, chronic obstructive pulmonary disease (COPD) and osteoporosis. The

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Polydioxanone Sternal Sutures for Prevention of Sternal Dehiscence

Abstract: Data suggest that PDS suture can protect against development of aseptic sternal complications following median sternotomy in high-risk patients with little body mass. The adoption of PDS in other subsets of patients, i.e., obese individuals, is to be questioned.

Cited by 15 publications

References 10 publications

Evaluation of Sternal Closure with Absorbable Polydioxanone Sutures in Children

Evaluation of Sternal Closure with Absorbable Polydioxanone Sutures in Children

Sternal Steel Wire Induced Persistant Intermittan Mediastinal Wound Drainage After CABG

Effects of Polyglyconate (Maxon) Suture Reinforced Sternum Closure Technique on Aseptic Sternal Dehiscence in High Risk Patients

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