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Indian Journal of Thoracic and Cardiovascular Surgery
Published in: Indian Journal of Thoracic and Cardiovascular Surgery 1/2023

05-11-2022 | Heart Surgery | CORRESPONDENCE

Effective open sternum technique after cardiac surgery—sternal spacer technique

Authors: Vivek Bagaria, Pradeep Ramakrishnan Reddy, Milind Padmakar Hote, Shiv Kumar Choudhary

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Issue 1/2023

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Excerpt

Right ventricular (RV) dysfunction and myocardial edema are sometimes encountered in critically ill patients after coming off bypass precluding sternal closure. Methods to keep the sternal edges apart temporarily have been described [1]. We describe a simple technique of making a rigid spacer that we have been practicing for 15 years. This can be easily performed using an ordinary syringe in the operation theatre. …
Literature
1.
Thyagarajan GK, Cobanoglu A. Temporary stenting of the sternum after difficult cardiac operations. Ann Thorac Surg. 1997;64:1504–5.
2.
Ott DA, Cooley DA, Norman JC, Sandiford FM. Delayed sternal closure: A useful technique to prevent tamponade or compression of the heart. Cardiovasc Dis. 1978;5:15–18.
3.
Jones SD, Fullerton DA, Campbell DN, et al. Technique to stent the open sternum after cardiac operations. Ann Thorac Surg. 1994;58:1186–7
4.
Erek E, Kaya M, Tanidir C, Kocyigit OI. Twisted wire stent technique for delayed sternal closure after congenital heart operations. Ann Thorac Surg. 2013;96:1102–3.
5.
Talwar S, Malankar D, Choudhary SK, Airan B. Temporary sternotomy wound closure with blood bag. Heart Lung Circ. 2010;19:673–4.
Metadata
Title
Effective open sternum technique after cardiac surgery—sternal spacer technique
Authors
Vivek Bagaria
Pradeep Ramakrishnan Reddy
Milind Padmakar Hote
Shiv Kumar Choudhary
Publication date
05-11-2022
Publisher
Springer Nature Singapore
Published in
Indian Journal of Thoracic and Cardiovascular Surgery / Issue 1/2023
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI
https://doi.org/10.1007/s12055-022-01425-z

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