ISSN 2149-2247 | E-ISSN 2149-2549
Original Article
Comparison Of Sternum Closure Techniques With Sternal Cable And Simple Wire After Open Heart Surgery
1 Kayseri Training And Research Hospital, Kayseri, Turkey  
2 Department of Cardiovascular Surgery, Sağlık Bilimleri University Kayseri Healt Practice and Research Center, Kayseri, Turkey  
Erciyes Med J ; : -
DOI: 10.5152/etd.2018.0072
Key Words: Sternal dehiscence, closure technique, cardiac surgery, sternal cable, simple wire
Abstract

Objective: Median sternotomy is the most commonly used method for open heart surgery.Poor sternal healing after median sternotomy can cause significant increase in morbidity, mortality and prolonged hospital stay. Although several techniques are available for the sternal closure, it is practically limited, and the most common technique is the simple wire technique. There is not enough scientific study on the comparison of the alternative techniques. Therefore, the aim of this study was to compare the follow-up results of the sternotomy closure tecniques: Sternal cable and simple wire.


Methods
: 246 adult patients (141 males, 105 females) who underwent sternotomy closurewith sternal cable (99) and simple wire (147) after open heart surgery were examined retrospectively. Patients' postoperative length of hospitalization, sternal dehiscence, local infection, mediastinitis and mortality rates were evaluated. Resternotomy requirement due to sternal decomposition and surgical site infections were evaluated. Statistical comparisons were made in terms of the parameters mentioned above


Results
: When the groups were compared in terms of age, gender, DM, COPD, CRF and smoking status, there was no statistically significant difference (p>0.05). In comparison with the patients in the simple wire group, the patients’ percentage of CABG + MVR (9.09%) was higher (p=0.028) in the sternal cable group. Cross clamp time was longer in the sternal cable group (81,24±31,91) than the simple wire group (74,08±17,67) (p=0.044) . Conclusion: Postoperative complications in the sternal cable group were less frequent but statistically not significant in our study. According to our results, sternal cable is effective and can be used as a good alternative to simple wire.


Cite this article as
: Özmen R, Tekin A. Comparison Of Sternum Closure Techniques With Sternal Cable And Simple Wire After Open Heart Surgery. Erciyes Med J 2018; DOI: 10.5152/etd.2017.0072

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