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Submammary median sternotomy.

R Martínez-Sanz1, M G Fleitas, R de la Llana

  • 1Servicio de Cirugía Cardiovascular, Hospital Universitario de Canarias, La Laguna, Tenerife.

The Journal of Cardiovascular Surgery
|September 1, 1990
PubMed
Summary
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A novel submammary incision for median sternotomy offers excellent cosmetic results for female patients undergoing open heart surgery. This approach ensures adequate surgical exposure without compromising safety or increasing complications.

Area of Science:

  • Cardiovascular Surgery
  • Surgical Oncology
  • Plastic Surgery

Background:

  • Traditional vertical skin incisions for sternotomy can result in visible and aesthetically displeasing scars, particularly concerning for young women.
  • Patient dissatisfaction with scarring after sternotomy highlights the need for improved surgical approaches.

Purpose of the Study:

  • To evaluate the efficacy and cosmetic outcomes of a submammary skin incision for median sternotomy in female patients.
  • To determine if a submammary incision provides adequate surgical exposure for open heart procedures without compromising patient safety.

Main Methods:

  • Median sternotomy was performed using a submammary skin incision in 35 female patients aged 10-48 years.
  • All patients underwent open heart surgical procedures.

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  • Surgical exposure, technical feasibility, complications, and cosmetic results were assessed.

    • Main Results:

    • Adequate surgical exposure of the heart was achieved in all cases.
    • No technical difficulties, hospital mortality, or major complications were encountered.
    • Excellent cosmetic results were reported for all patients.

    Conclusions:

    • The submammary skin incision is a safe and effective alternative approach for median sternotomy in female patients.
    • This technique significantly improves cosmetic outcomes, making it highly justifiable for open heart surgery in young women.