PMID: 8607678Apr 1, 1996Paper

Improved sternal closure using steel bands: early experience with three-year follow-up

The Annals of Thoracic Surgery
H S SoroffS B Pollak

Abstract

Use of stainless steel wires in median sternotomy closure is at times associated with serious complications. In view of this, the efficacy and safety of a stainless steel band designed for fixation and approximation of the sternum in cardiothoracic procedures was evaluated in a prospective, randomized study. Forty-eight patients undergoing open heart operations that involved a median sternotomy were studied. Group I (n = 21) was closed with four to six steel bands, and group II (n = 27) with six to eight standard stainless steel wires. The average age of the patients and the risk factors predisposing to dehiscence were similar in both groups. One postoperative death occurred in each group due to cardiac failure. In group I, the mean length of the postoperative hospital stay was 10.2 +/- 1.76 days (+/- 2 standard errors), whereas in group II the mean was 13.9 +/- 3.4 days (+/- 2 standard errors). Banded patients complained less of postoperative pain, although statistical significance was not achieved. No problems arose in either group during the 3-year follow-up. The steel bands, compared with wires, provided not only effective fixation, but a reduction in both postoperative pain and postoperative hospital stay. The band is now ...Continue Reading

References

Feb 1, 1976·The Annals of Thoracic Surgery·S L Kalush, L I Bonchek
Sep 1, 1988·Journal of Cardiac Surgery·M BadellinoJ B McClurken
Jan 1, 1985·The Annals of Thoracic Surgery·R H JohnstonD Bricker
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Mar 1, 1993·The Annals of Thoracic Surgery·W ChengV L Gott

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Citations

Jun 1, 2001·The Annals of Thoracic Surgery·A J Schreffler, J D Rumisek
Feb 5, 2004·The Annals of Thoracic Surgery·Takeshi SaitoKoichi Tabayashi
Mar 13, 2002·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·Julian E LosanoffBruce W Richman
May 8, 2009·Journal of Cardiothoracic Surgery·Hosam FawzyJames Mahoney
Jul 1, 1997·Journal of Cardiac Surgery·N M Katz
Nov 8, 2014·Case Reports in Surgery·William RothsteinAhmet Kilic
Nov 7, 2003·The Annals of Thoracic Surgery·Walter E McGregorJames A Magovern
May 27, 1999·The Journal of Thoracic and Cardiovascular Surgery·W E McGregorJ A Magovern
Jan 25, 2007·Asian Cardiovascular & Thoracic Annals·Susmit BhattacharyaAjay Kaul
Mar 17, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·A R CashaG J Cooper
Apr 15, 2003·Asian Cardiovascular & Thoracic Annals·Khalid Al Ebrahim
Jul 24, 2013·World Journal of Orthopedics·Fatih KüçükdurmazMurat Bezer
Oct 9, 2018·Interactive Cardiovascular and Thoracic Surgery·Daniele C CataneoAntônio J M Cataneo
Jan 6, 2018·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Matthew R DanterJames G Abel
Apr 2, 2019·Annals of Vascular Diseases·Kiyofumi Morishita

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