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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...

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Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
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Late postcardiotomy sternal dehiscence: a simple approach using Stratos® system.

Jamil Hajj-Chahine1, Geraldine Allain, Jacques Tomasi

  • 1Department of Cardio-thoracic Surgery, University Hospital of Poitiers, Poitiers, France.

Journal of Cardiac Surgery
|May 10, 2013
PubMed
Summary

Managing late sternal dehiscence, a complex issue, can be simplified. This study presents an alternative surgical technique using titanium clips and a connecting bar for sternal stabilization.

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Last Updated: May 11, 2026

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Area of Science:

  • Cardiothoracic Surgery
  • Biomedical Engineering

Background:

  • Late sternal dehiscence presents significant management challenges.
  • Existing methods like rewiring and plate fixation are effective but can be time-consuming.

Purpose of the Study:

  • To describe an alternative, potentially more efficient technique for stabilizing the sternum in cases of late sternal dehiscence.

Main Methods:

  • A novel surgical approach utilizing four titanium clips and a single connecting bar for sternal stabilization was employed.
  • This technique offers an alternative to traditional methods.

Main Results:

  • The described technique provides a method for sternal stabilization in late sternal dehiscence.
  • This approach aims to address the challenges associated with current management strategies.

Conclusions:

  • The presented titanium clip and connecting bar technique offers a viable alternative for managing late sternal dehiscence.
  • Further studies may be warranted to compare its efficacy and efficiency with existing methods.