Interlocking Sternotomy: Initial Experience

An interlocking sternotomy using a lazy-S-shaped incision was performed in 91 patients undergoing cardiac surgical procedures (group A). The results were compared with those of 77 patients (group B) who underwent a standard sternotomy by the same surgical team. In group A, the incidence of sternal i...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2004-03, Vol.12 (1), p.16-18
Main Authors: Joshi, Raja, Abraham, Smartin, Sampath Kumar, Arkalgud
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Distribution
Aged
Blood Loss, Surgical - physiopathology
Cardiac Surgical Procedures - methods
Cardiac Surgical Procedures - mortality
Child
Female
Humans
Incidence
Male
Mediastinitis - diagnosis
Mediastinitis - epidemiology
Middle Aged
Probability
Prognosis
Prospective Studies
Risk Assessment
Sex Distribution
Sternum - surgery
Surgical Wound Dehiscence - epidemiology
Surgical Wound Dehiscence - etiology
Surgical Wound Infection - epidemiology
Surgical Wound Infection - etiology
Survival Rate
Suture Techniques
Thoracotomy - adverse effects
Thoracotomy - methods
Wound Healing - physiology
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Summary:An interlocking sternotomy using a lazy-S-shaped incision was performed in 91 patients undergoing cardiac surgical procedures (group A). The results were compared with those of 77 patients (group B) who underwent a standard sternotomy by the same surgical team. In group A, the incidence of sternal instability was 2.27% (2/88) versus 8.21% (6/73). No dehiscence or mediastinitis was noted in group A, whereas 6.85% (5/73) in group B had this complication. Analysis of diabetics revealed no sternal complication in group A compared to 50% (3/6) in group B. The interlocking sternotomy significantly reduced the incidence of sternal instability and helped to prevent sternal dehiscence and mediastinitis. Use of this safe, simple, and reproducible technique is strongly recommended, especially in diabetics.
ISSN:0218-4923
1816-5370
DOI:10.1177/021849230401200105