Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Early postoperative sternal approximation after ITA harvesting: computed tomographic evaluation.

P Vanleeuw1, D Roux, G Fournial

  • 1Department of Cardiovascular Surgery, Centre Hospitalier Universitaire Rangueil, Toulouse, France.

The Annals of Thoracic Surgery
|September 1, 1991
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Toward improvement of knowledge of financial conflicts of interest in a large medical school in France.

PloS one·2023
Same author

Life-threatening hemophagocytic syndrome triggered by disseminated toxoplasmosis in a young patient with previously unknown AIDS.

La Revue de medecine interne·2022
Same author

Driver intoxication and risk for fatal crashes in South Africa: A 3-year review.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2021
Same author

Are script concordance tests suitable for the assessment of undergraduate students? A multicenter comparative study.

La Revue de medecine interne·2020
Same author

[Gynecological Lemierre's syndrome: A case report and literature review].

La Revue de medecine interne·2020
Same author

[Assessment of a newly-implemented blended teaching of intensive care and emergency medicine at Paris-Diderot University].

La Revue de medecine interne·2020

Sternal approximation after heart surgery is often inadequate, with manubrial spacing and misalignment being common. Surgeons can improve sternal closure by using specific techniques during wound closure.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Biomedical Engineering

Background:

  • Sternal approximation is critical for patient recovery after sternotomy.
  • Inadequate sternal closure can lead to complications and delayed healing.

Purpose of the Study:

  • To evaluate the quality of sternal approximation in patients undergoing aortocoronary bypass.
  • To identify factors influencing sternal healing and propose improved closure techniques.

Main Methods:

  • 66 sternotomized patients undergoing aortocoronary bypass were studied postoperatively.
  • Sternal scanner imaging assessed manubrial and sternal body approximation.
  • Patients were grouped by graft type (internal thoracic artery vs. saphenous vein) and sternal closure material (steel wires vs. nylon yarns).

Related Experiment Videos

Main Results:

  • Adequate sternal approximation was infrequently observed in the early postoperative period.
  • Manubrial spacing and sternal body misalignment were the most common abnormalities.
  • Neither graft type nor sternal closure material significantly impacted sternal approximation quality.

Conclusions:

  • Current sternal closure methods often result in suboptimal approximation.
  • Specific surgical maneuvers are proposed to minimize manubrial spacing and sternal body misalignment.
  • Optimized sternal closure techniques may enhance healing and reduce complications.