Closure of longitudinal sternotomy with absorbable sutures

Area of Science:

• Cardiovascular Surgery
• Surgical Materials Science

Background:

• Median sternotomy is a common approach for open heart surgery.
• Sternal closure is critical for patient recovery and preventing complications.
• Traditional sternal closure methods may face challenges with sternal bone friability.

Purpose of the Study:

• To evaluate the efficacy and safety of using absorbable polydioxanone (PDS) sutures for median sternotomy closure.
• To assess the incidence of sternal dehiscence and wound complications with PDS suture use.

Main Methods:

• A consecutive series of 150 patients undergoing open heart surgery were included.
• Polydioxanone (PDS-Ethicon) sutures were utilized for median sternotomy closure.
• A "double" PDS suture technique was employed.

Main Results:

• Only one patient (0.67%) experienced sternal dehiscence in the series of 150 patients.
• No wound complications or material incompatibility were reported.
• The "double" PDS suture technique allowed for rapid and secure closure, even in cases with sternal bone friability.

Conclusions:

• Absorbable polydioxanone (PDS) sutures are a safe and effective option for median sternotomy closure in open heart surgery.
• The "double" PDS suture technique offers a secure and reliable method for sternal closure, mitigating risks associated with sternal bone fragility.