Usefulness of sternal closure with bioresorbable plate in respiratory function after coronary artery bypass grafting

Tamura, Kiyoshi; Maruyama, Toshiyuki; Sakurai, Syogo

doi:10.1007/s11748-018-1010-2

Cited by 5 publications

(6 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Sternum immobilisation after median sternotomy is a critical procedure after cardiac surgery 17 . Traditional stainless steel wire cerclage for immobilisation can cause the sternum dehiscence due to the cutting action of metal wires, and can hardly provide good sternal stability leading to serious complications such as pain, osteomyelitis and even respiratory complications 18,19 . In addition, residual undegradable steel wires may lead to future problems such as chronic bone non-union and deep sternal wound infection 20,21 .…”

mentioning

confidence: 99%

Self-healing polyurethane-elastomer with mechanical tunability for multiple biomedical applications in vivo

et al. 2021

View full text Add to dashboard Cite

The unique properties of self-healing materials hold great potential in the field of biomedical engineering. Although previous studies have focused on the design and synthesis of self-healing materials, their application in in vivo settings remains limited. Here, we design a series of biodegradable and biocompatible self-healing elastomers (SHEs) with tunable mechanical properties, and apply them to various disease models in vivo, in order to test their reparative potential in multiple tissues and at physiological conditions. We validate the effectiveness of SHEs as promising therapies for aortic aneurysm, nerve coaptation and bone immobilization in three animal models. The data presented here support the translation potential of SHEs in diverse settings, and pave the way for the development of self-healing materials in clinical contexts.

show abstract

mentioning

confidence: 99%

Self-healing polyurethane-elastomer with mechanical tunability for multiple biomedical applications in vivo

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Sakashita et al con rmed that xation sternotomy with Super FIXSORB MX40 mesh plates promoted bone stability and decreased postsurgical pain [13]. Additionally, Tamura et al reported that xation with Super FIXSORB MX40 mesh plates resulted in increased sternal stability, decreased postoperative pain, and improved postoperative respiratory function [9]. As shown in Fig.…”

Section: Discussionmentioning

confidence: 99%

“…The mesh plate is resorbed after approximately 6 years through osteoconduction [5] and has already been used for xing rib fractures and ail chest repair [6,7]. Furthermore, postoperative respiratory conditions are more stable when a mesh plate is used for median sternotomy after congenital cardiac surgery and coronary artery bypass grafting [8,9]. Therefore, we devised a method to close the sternum by external xation using a three-piece mesh plate (Fig.…”

Section: Introductionmentioning

confidence: 99%

Sternal closure with sandwiched three-piece bioresorbable mesh reduces postoperative hemorrhage: a retrospective study

Yokoyama

Yamamoto

Oyama³

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Median sternotomy is the most performed procedure in cardiac surgery; however, sternal bleeding remains a problem. This study aimed to investigate whether sternal reconstruction using a sandwiched three-piece bioresorbable mesh plate can prevent postoperative bleeding more than a bioresorbable pin. Methods: Patients (n = 218) who underwent median sternotomy were classified according to whether a sandwiched three-piece bioresorbable mesh plate and wire cerclage (group M, n = 109) or a bioresorbable pin and wire cerclage (group P, n = 109) was used during sternal reconstruction. The causes of postoperative bleeding and computed tomography data were analyzed and compared between the groups. Results: The preoperative patient characteristics did not significantly differ between the groups. However, the amount of bleeding at 6 h postoperatively was lower in group M than in group P (235 ± 147 vs. 284 ± 175 mL, p = 0.0275). Chest reopening, intubation time, and length of intensive care unit and hospital stays did not differ between the groups. Evaluation for sternal and substernal hematoma on postoperative day 5 using computed tomography showed sternal displacement in 4 (4%) and 22 (20%) patients, and substernal hematoma in 9 (8%) and 22 (20%) patients in groups M and P, respectively; the difference was significant. The four-grade evaluation of substernal hematoma based on computed tomography yielded a significantly lower grade for group M than for group P, revealing that the mesh plate was an independent predictor of substernal hematoma prevention. Conclusion: Sternal fixation with a three-piece bioresorbable mesh plate could prevent postoperative bleeding and substernal hematoma more than sternal fixation with a pin.

show abstract

“…The main issue when introducing new materials in surgery is to verify safety. Absorbable long-lasting sutures, commonly used in general surgery, 1 have typically only been utilized in cardiovascular surgery for sternal closure after pediatric and adult cardiac surgery procedures, [2][3][4][5] for vascular surgery procedures, [6][7][8][9][10] for diaphragmatic or superficial cutaneous sutures related to cardiovascular procedures, 11,12 and for experimental research surgery in animals. 13 Despite being regularly used in hospitals in Europe as purse strings for arterial and venous cannulation for cardiopulmonary bypass in pediatric heart surgery, to the best of our knowledge, their use in this specific utilization has not been reported.…”

Section: Discussionmentioning

confidence: 99%

Absorbable sutures for cardiopulmonary bypass purse strings in pediatric heart surgery

Corno

Trager

Sam

et al. 2022

Journal of Cardiac Surgery

View full text Add to dashboard Cite

Background: Absorbable sutures, commonly used in general surgery, are not routinely used as purse strings for arterial and venous cannulation for cardiopulmonary bypass in pediatric heart surgery. The general concern is absorbable sutures could predispose to immediate postoperative bleeding; this safety concern has been evaluated in this retrospective study. Materials and Methods:A single center, retrospective study, was conducted with criteria for inclusion patient <18 years of age, operation on with cardiopulmonary bypass for heart surgery from July 1, 2018 to June 30, 2020, with purse strings for cannulation performed with absorbable sutures. Data collection included demographics at the time of surgery, site of arterial and venous cannulation with absorbable purse strings, bleeding, required reoperation, related hospital mortality, and complications.Results: One hundred and ninety-eight patients, mean ± standard deviation (SD) age of 1597 ± 3021 days, mean ± SD body weight of 15.9 ± 18.8 kg, were operated on using absorbable sutures for purse strings for arterial and venous cannulation: No bleeding was reported, either intraoperative or in the immediate postoperative period, related to the type of sutures used for purse strings for cannulation. No hospital deaths or complications related to the type of sutures were observed.Conclusions: Based on the results of our analysis, we can conclude that the utilization of purse strings absorbable sutures for arterial and venous cannulation for cardio-pulmonary bypass in children is safe in relationship to the intraoperative and immediate postoperative period. No complications related to the use of absorbable sutures have been observed in a large pediatric patient population.

show abstract

Usefulness of sternal closure with bioresorbable plate in respiratory function after coronary artery bypass grafting

Abstract: Sternal fixation with bioresorbable plate could reduce impairment of postoperative respiratory function in comparison to wire cerclage only.

Cited by 5 publications

References 21 publications

Self-healing polyurethane-elastomer with mechanical tunability for multiple biomedical applications in vivo

Self-healing polyurethane-elastomer with mechanical tunability for multiple biomedical applications in vivo

Sternal closure with sandwiched three-piece bioresorbable mesh reduces postoperative hemorrhage: a retrospective study

Absorbable sutures for cardiopulmonary bypass purse strings in pediatric heart surgery

Contact Info

Product

Resources

About