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Related Experiment Video

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Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
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Cardiopulmonary bypass line sternal wrapping: technical tips.

Carlo Aratari1, Alexander Manché, Filippo Capestro

  • 1Division of Cardiac Surgery, Ospedali Riuniti, Ancona, Italy. caratari@hotmail.com

Interactive Cardiovascular and Thoracic Surgery
|September 10, 2010
PubMed
Summary

Sternal wrapping (SW) offers a novel approach to sternal care, providing mechanical protection and bacterial shielding to enhance sternal healing. Developed since 2008, SW techniques now allow internal thoracic artery harvesting and improved hemostasis.

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Area of Science:

  • Cardiovascular Surgery
  • Surgical Innovation
  • Wound Healing

Background:

  • Traditional sternal closure methods may have limitations.
  • Bone wax is commonly used but has potential drawbacks.
  • A need exists for improved sternal protection and healing.

Purpose of the Study:

  • To introduce and describe sternal wrapping (SW) as an alternative sternal care technique.
  • To highlight the benefits of SW in mechanical protection and bacterial shielding.
  • To document advancements in SW since its introduction.

Main Methods:

  • SW involves wrapping cardiopulmonary bypass lines around the sternum.
  • The technique has evolved to accommodate procedures like internal thoracic artery harvesting.
  • Modifications have been made to enhance the hemostatic properties of SW.

Main Results:

  • SW provides mechanical protection to the sternum.
  • It acts as a shield against bacterial contamination.
  • SW has demonstrated beneficial effects on sternal healing.
  • The technique has been refined for improved functionality and integration with other surgical procedures.

Conclusions:

  • Sternal wrapping is a promising development in sternal care.
  • It offers advantages over traditional methods by enhancing protection and healing.
  • Ongoing developments continue to improve the efficacy and applicability of SW.