Thorac Cardiovasc Surg 2002; 50(2): 117-119
DOI: 10.1055/s-2002-26694
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Description of a Reusable Device for the Temporary Stenting of the Open Sternum

H.  Kusber, M.  Chares, M.-J.  Polonius
  • 1Klinik für Herz-, Thorax- und Gefäßchirurgie des Klinikum Dortmund gGmbH, Germany
Further Information

Publication History

Publication Date:
30 April 2002 (online)

Abstract

Background: Myocardial oedema, non-surgical bleeding and the use of mechanical assist devices following major heart surgery sometimes prevent primary closure of the sternum. Method: We describe a reusable sterile device for temporarily stenting the open sternum for safety. Results: The sternal stent was used in 32 patients for a mean time of 2 days. We observed no mediastinitis and no wound-healing disorders. A secondary closure of the sternum was performed in 28 patients. Conclusion: We present a device for sternal stenting that is reusable, easy to apply and allows a good handling of the criticaly ill patient due to its extreme stability.

References

  • 1 Ganghar D M, McCough E C, Synhost D. Secondary sternal closure: a method of preventing cardiac compression.  Ann Thorac Surg. 1981;  31 281-282
  • 2 Ganeshakrishnan K, Thyagarajan M D, Cobaoglu A. Temporary stenting of the sternum after difficult cardiac operations.  Ann Thorac Surg. 1997;  64 1504-1505
  • 3 Gielchinsky I, Parsonnet V, Krishnan B, Silidker M, Abel R. Delayed sternal closure following open-heart operation.  Ann Thorac Surg. 1981;  32 273-277
  • 4 Jones S D, Fullerton D A, Campbell D N, Jaggers J, Brown J M, Smith R, Grover F L. Technique to stent the open sttrnum after cardiac operations.  Ann Thorac Surg. 1994;  58 1186-1187
  • 5 Pytlik K, Manus H, Herwig V, Knorig J, Hetzer R. Delayed thorax closure after open heart surgery under primary application of a closed retrosternal irrigation to the reduction of the risk of mediastinitis. 30. Jahrestagung der deutschen Gesellschaft für Thorax-, Herz- und Gefäßchirurgie. Leipzig; Deutsche Gesellschaft für Thorax-, Herz- und Gefäßchirurgie 2001
  • 6 Satoh H, Sakai K, Koyama M, Matsuda H. Spool-like stent for the open sternum after cardiac operations.  Ann Thorac Surg. 1997;  63 572-574

Hubert Kusber

Beurhausstraße 40

44137 Dortmund

Germany

Phone: + 49-231-5020-990

Fax: + 49-231-5021-038

Email: a.chares@t-online.de, Kusber@t-online.de

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