The Comparison between Two Sternum Closure Techniques after Coronary Bypass Surgery; Sterna-Band® (Peninsula) and Sternum Band (Ethicon®)
Journal Title: Advancements in Cardiovascular Research - Year 2018, Vol 1, Issue 2
Abstract
Introduction: Recovery failures such as sternal dehiscence, sternal pain, sternal wound infections, osteomyelit and mediastinit can be seen after median sternotomy in coroner bypass surgery. In this study, two sternum band closure methods which we find more effective and secure than conventional sternal closure method are compared. Method: In this prospective study that compares two sternal band closure techniques, 114 patients are divided in two groups as Group A (n=54) and Group B (n=60). This research compares the results for sternal dehiscence, sternal wound infections, sternal pain and mediastinit in these patient groups between December 2011 and July 2012. Results: Out of the two, a meaningful recovery is achieved in Group A compared to Group B (p<0.05). No superficial woud infection, sternal dehiscence and mediastinit are found in patients of both band groups. Conclusion: In this study, two different band closure techniques for sternotomy closure after the coroner bypass surgery are compared, and it is revealed that sternal pain index decreases meaningfully, compared to the other. Median sternotomy is the most frequently used incision for cardiac surgery. Following cardiac surgery by median sternotomy, the sternum is closed by surgical steel wires. Potential postoperative sternal instability definition is dehiscence of sternal parts due to cutting of sternal cortical layers by sternum closing wires with usually inappropriate movements of patient. This may result ranging from increased postoperative pain to sternal wound infection and mediastinitis associated with higher morbidity and mortality and prolonged hospital stay and increased treatment costs [1-4]. Sternal bands used in our study are reported to prevent cutting of sternal cortex as tension on sternum is applied on larger and more balanced area, unlike to conventional sternal steel wires [4-6]. The aim of this study is to compare two different sternal band closing methods.
Authors and Affiliations
Kenan Abdurrahman Kara, Zafer Erk, Aytuğ Koçyiğit, Şenol Gülmen, Hüseyin Okutan
Keywords
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- EP ID EP586132
- DOI 10.32474/ACR.2018.01.000106
- Views 62
- Downloads 0
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