Sternal Bands for Closure of Midline Sternotomy Leads to Better Wound Healing

Midline sternotomy is the most common incision for cardiac surgery, but problems of wound healing and sternal instability are still matters of concern. The use of stainless steel wires only was compared with the use of wires plus sternal bands for closure of midline sternotomy wounds in a 2-year per...

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Bibliographic Details
Published inAsian cardiovascular & thoracic annals Vol. 15; no. 1; pp. 59 - 63
Main Authors Bhattacharya, Susmit, Sau, Indrajit, Mohan, Man, Hazari, Kunal, Basu, Rajarshi, Kaul, Ajay
Format Journal Article
LanguageEnglish
Published London, England Asian Soc Cardio Surg 01.02.2007
SAGE Publications
Subjects
Bone Wires
Coronary Artery Bypass - adverse effects
Humans
Incidence
Sternum - surgery
Surgical Wound Dehiscence - epidemiology
Surgical Wound Dehiscence - etiology
Surgical Wound Dehiscence - prevention & control
Suture Techniques
Thoracotomy - adverse effects
Thoracotomy - instrumentation
Wound Healing
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Summary:Midline sternotomy is the most common incision for cardiac surgery, but problems of wound healing and sternal instability are still matters of concern. The use of stainless steel wires only was compared with the use of wires plus sternal bands for closure of midline sternotomy wounds in a 2-year period. Of 370 patients in whom only stainless steel wires were used, 14 (3.78%) required re-operation for dehiscence. Only 3 (0.76%) of 395 patients in whom sternal bands were also used, required re-operation for dehiscence. The difference was highly significant. It was concluded that use of sternal bands leads to a more stable union.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0218-4923
1816-5370
DOI:10.1177/021849230701500113