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Asian Cardiovasc Thorac Ann 2003;11:90-91
© 2003 Asia Publishing EXchange Ltd

HOW TO DO IT

Reinforced Sternal Closure: the Bilateral Straight Longitudinal Wire Technique

Khalid Al Ebrahim, FRCSC

Department of Cardiac Surgery, Al Hada Armed Forces Hospital, Taif, Saudi Arabia

For reprint information contact: Khalid Al Ebrahim, FRCSC Tel: 966 2 754 1610 Fax: 966 2 754 1238 email: khaled_alebrahim{at}yahoo.com Department of Cardiac Surgery, Al Hada Armed Forces Hospital, P.O. Box 1347, Taif, Saudi Arabia.

Sternal dehiscence and mediastinitis are among the most severe complications of median sternotomy. A simplified technique of reinforced closure is described. A straight wire is inserted longitudinally on each side of the sternum, placed within the transverse wires when the latter are approximated. Using this technique in 112 patients with a precarious sternum, no cases of sternal dehiscence or mediastinitis have been seen.




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