Abstract
Seventeen out of 929 consecutive patients (1.8%) who underwent open-heart surgery during the last three years developed dehiscence of the sternotomy. Infection was the most common cause of dehiscence and occurred more often after reopening of the incision to control bleeding or relieve tamponade. We describe a one stage closure which was used in all 17 cases. A successful result was obtained in 16 cases, discharge from hospital occurring between 21 and 51 days after closure.
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- Bryant L. R., Spencer F. C., Trinkle J. K. Treatment of median sternotomy infection by mediastinal irrigation with an antibiotic solution. Ann Surg. 1969 Jun;169(6):914–920. doi: 10.1097/00000658-196906000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Culliford A. T., Cunningham J. N., Jr, Zeff R. H., Isom O. W., Teiko P., Spencer F. C. Sternal and costochondral infections following open-heart surgery. A review of 2,594 cases. J Thorac Cardiovasc Surg. 1976 Nov;72(5):714–726. [PubMed] [Google Scholar]
- Haller J. A., Jr, Crisler C., Brawley R., Cameron J. Mustard operation for transposition of the great vessels. Technical considerations. J Thorac Cardiovasc Surg. 1969 Aug;58(2):296–300. [PubMed] [Google Scholar]
- LeVeen H. L., Piccone V. A. Nylon-band chest closure. Arch Surg. 1968 Jan;96(1):36–39. doi: 10.1001/archsurg.1968.01330190038009. [DOI] [PubMed] [Google Scholar]
- Moghissi K. Median sternotomy wound disruption: A surgical technique of repair. J R Coll Surg Edinb. 1977 Mar;22(2):156–157. [PubMed] [Google Scholar]
- Robicsek F., Daugherty H. K., Cook J. W. The prevention and treatment of sternum separation following open-heart surgery. J Thorac Cardiovasc Surg. 1977 Feb;73(2):267–268. [PubMed] [Google Scholar]
- Santos G., Cook W. A., Frater R. W. Reclosure of sternotomy disruption produced by hiccups. Chest. 1974 Aug;66(2):189–190. doi: 10.1378/chest.66.2.189. [DOI] [PubMed] [Google Scholar]