Sternal Reclosure Using Sternal Clips in Patients with Deep Sternal Wound Infection

Raab, Stephan; Reindl, Sebastian; Schuller, Z.; Beyer, M

doi:10.1055/s-0039-1678909

Cited by 2 publications

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“…Prophase of sternal healing is related to sternal complications. One of the cause of postoperative deep sternal wound infections is malabsorption of sternal hematoma which leads to failure to form an effective dead space [9][10].…”

Section: Introductionmentioning

confidence: 99%

Influence Factors of Sternal Healing and Comparison of Different Sternal Closure Methods：A Retrospective Analysis

Long¹,

M²,

Qian³

et al. 2021

Preprint

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Background We determined the factors affecting sternum healing after a median sternotomy based on a retrospective analysis and compared the stability of different sternal closure techniques. Methods We collected information involving patients who underwent a median sternotomy in Changzhou First Hospital from 2014–2019 and had chest CT examinations 1–24 months postoperative, Main outcome includes the average of sternal healing score at the five specific anatomic levels and the adverse event of transverse displacement of sternum. Results In the short term healing group, Sternal score was only correlated with postoperative time (HR = 0.18, 95%CI:0.135–0.225, p < 0.001). In the long term healing group,old people had a higher risk of poor sternal healing than young (Age, HR=-0.028,95%CI:-0.05,-0.006, p = 0.013). Patients with left internal mammary artery grafting (LIMAG) had a high risk of poor sternal healing (HR=-0.444, CI:-0.869-0.019, p = 0.045).By binary logistic regression, It could be found that steel wire fixation was a favorable factor to prevent the transverse displacement of sternum (HR = 0.122, 95%CI:0.007–0.651, p = 0.047). Conclusion In summary, advanced age and internal mammary artery interception are risk factors that affect sternal healing based on imaging findings. this new method of sternal closure provides an effective way of ensuring sternal stability of both sternal plates and reduces the risk for complication after cardiac surgery in high-risk patients.

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Section: Introductionmentioning

confidence: 99%

Influence Factors of Sternal Healing and Comparison of Different Sternal Closure Methods：A Retrospective Analysis

Long¹,

M²,

Qian³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Additionally, the prophase of sternal healing is related to sternal complications. One of the causes of postoperative deep sternal wound infections is the malabsorption of sternal hematoma, which leads to failure to form an effective dead space [9][10]. Through the analysis of the factors affecting sternum healing, it is helpful to enact appropriate surgical methods and postoperative care that accelerate the prophase of sternal healing and that reduce the incidence of complications for the highrisk groups with poor sternum healing.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing sternal healing and comparison of different sternal closure methods: a retrospective analysis

Long¹,

M²,

Qian³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background We determined the factors affecting sternum healing after a median sternotomy based on a retrospective analysis; additionally, we compared the stability of different sternal closure techniques. Methods We collected information involving patients who underwent a median sternotomy in Changzhou First People's Hospital from 2014–2019 and who had chest CT examinations at 1–24 months post-operation. The main outcome included the average sternal healing score at the five specific anatomic levels and adverse events of transverse displacement of the sternum. Results In the short-term healing group, the sternal score was only correlated with postoperative time (HR = 0.18, 95% CI: 0.135–0.225, p < 0.001). In the long-term healing group, older people had a higher risk of poor sternal healing than young people (age, HR=-0.028, 95% CI: -0.05–0.006, p = 0.013). Patients with left internal mammary artery dissociation (LIMA-d) had a high risk of poor sternal healing (HR=-0.444, 95% CI: -0.869-0.019, p = 0.045). The binary logistic regression showed that steel wire fixation was a favorable factor for preventing transverse displacement of the sternum (HR = 0.122, 95% CI: 0.007–0.651, p = 0.047). Conclusion In summary, advanced age and internal mammary artery interception are risk factors that affect sternal healing, based on the imaging findings. This new method of sternal closure provides an effective way of ensuring sternal stability of both sternal plates and reduces the risk for complications after cardiac surgery in high-risk patients.

show abstract

Sternal Reclosure Using Sternal Clips in Patients with Deep Sternal Wound Infection

Cited by 2 publications

References 0 publications

Influence Factors of Sternal Healing and Comparison of Different Sternal Closure Methods：A Retrospective Analysis

Influence Factors of Sternal Healing and Comparison of Different Sternal Closure Methods：A Retrospective Analysis

Factors influencing sternal healing and comparison of different sternal closure methods: a retrospective analysis

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