PMID: 18198405Jan 17, 2008Paper

A mathematical analysis of alternative sternal wound closures--an aid to reducing cardiac surgical mortality

Bio-medical Materials and Engineering
Lindsay C H John

Abstract

Sternal dehiscence is an important complication of cardiac surgery. A simple mathematical analysis is described for determining the relative strength (S) of different types of sternal closure. This is based upon resolving the tensions within the segments of a sternal wire to derive a dehiscence force. The strength of the closure (S) is the ratio of the volume of sternum which the dehiscence force acts upon to the dehiscence force itself. The derived S values varied from 4.3 for a closure using 6 transverse wires to 11.4 for a closure using the Modified Technique. The analysis suggested that closures which redistribute the transverse force to act obliquely upon a greater volume of sternum, such as the Modified Technique, are less likely to fail.

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Lindsay C H John
The Annals of Thoracic Surgery
C A ScovottiR M Leyro-Diaz
The Annals of Thoracic Surgery
W F Chlosta, J A Elefteriades
Asian Cardiovascular & Thoracic Annals
Pasquale TotaroVincenzo Argano
© 2021 Meta ULC. All rights reserved