Temporary sternotomy wound closure with blood bag
Sachin Talwar1, Dhananjay Malankar, Shiv Kumar Choudhary
1Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi 110029, India. sachintalwar@hotmail.com
Insights
A novel technique using sterile blood bags offers a simple, inexpensive method for temporary sternotomy closure when primary closure is not feasible due to myocardial edema in cardiac surgery patients.
Area of Science:
- Cardiac Surgery
- Paediatric Cardiac Surgery
- Surgical Techniques
Background:
- Myocardial edema frequently complicates cardiac surgery, particularly in pediatric cases.
- Significant myocardial edema can preclude primary sternotomy wound closure.
- Alternative methods for sternotomy closure are needed in specific surgical scenarios.
Purpose of the Study:
- To present a simple and cost-effective technique for temporary sternotomy closure.
- To address the challenge of sternotomy closure in the presence of myocardial edema.
- To offer a practical solution for situations where primary closure is not possible.
Main Methods:
- Description of a technique utilizing a sterile blood bag for temporary sternotomy closure.
- Focus on the simplicity and low cost of the proposed method.
- Application in cases of significant myocardial edema during cardiac surgery.
Main Results:
- The described technique provides a viable option for temporary sternotomy wound management.
- The method is inexpensive and easy to implement.
- Successfully addresses the inability to perform primary sternotomy closure.
Conclusions:
- Temporary sternotomy closure using a sterile blood bag is a practical solution.
- This technique is particularly useful in pediatric cardiac surgery with myocardial edema.
- Offers an accessible and affordable approach to wound management in challenging cases.
Abstract:
Many situations are encountered in cardiac surgery, especially paediatric cardiac surgery, which are associated with significant myocardial oedema. In such cases it is inadvisable or impossible to close the sternum primarily. Here we describe a simple and inexpensive technique of temporary sternotomy wound closure with a sterile blood bag.


