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Related Concept Videos

Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
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Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...

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Related Experiment Video

Updated: May 11, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Published on: November 8, 2024

A new cable-tie-based sternal closure device: infectious considerations.

Ludovic Melly1, Brigitta Gahl, Ruth Meinke

  • 1Clinic for Cardiac Surgery, University Hospital Basel, Basel, Switzerland. Ludovic.Melly@usb.ch

Interactive Cardiovascular and Thoracic Surgery
|April 30, 2013
PubMed
Summary
This summary is machine-generated.

The sternal ZipFix™ system showed no significant difference in sternal infection rates compared to conventional wires after cardiac surgery. This cable-tie closure method is safe, fast, and reduces operation time without compromising patient outcomes.

Keywords:
Cardiac surgeryPoly-ether-ether-ketoneSternal closure deviceSternal infection

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Published on: July 13, 2019

Area of Science:

  • Cardiovascular Surgery
  • Surgical Innovation
  • Infection Control

Background:

  • Sternotomy closure is critical for post-cardiac surgery recovery.
  • Conventional wire closure carries risks of sternal infection and instability.
  • Novel closure techniques aim to improve patient safety and surgical efficiency.

Purpose of the Study:

  • To compare sternal infection rates between the sternal ZipFix™ (ZF) cable-tie system and conventional wire (CW) closure post-sternotomy.
  • To evaluate other infectious events and sternal stability associated with each closure method.
  • To assess the safety and efficiency of the ZF system in cardiac surgery patients.

Main Methods:

  • A comparative study included 95 patients closed with ZF and 498 with CW after cardiac surgery.
  • Patients with active endocarditis or early mortality were excluded.
  • Multivariable logistic regression with inverse propensity weighting analyzed infection rates, controlling for confounders like BMI and renal impairment.

Main Results:

  • Overall sternal infection rate was 6.1% (5 in ZF vs. 31 in CW), with no statistically significant difference between groups (P=0.72).
  • No sternal instability was observed with the ZF system, whereas 4/31 patients experienced instability with CW.
  • The ZF system reduced overall operation time by 11 minutes compared to CW.

Conclusions:

  • The sternal ZipFix™ system demonstrates a neutral effect on sternal infection rates post-sternotomy.
  • Postoperative complications are comparable between ZF cable-tie and CW sternal closure methods.
  • The ZF system offers a fast, easy, reliable, and safe alternative for sternal closure in cardiac surgery.