A novel modified Robicsek technique for sternal closure: "Double-check".

Area of Science:

• Cardiovascular Surgery
• Thoracic Surgery
• Surgical Innovation

Background:

• Median sternotomy is standard for cardiac and great vessel surgery.
• Sternal healing complications like instability, nonunion, and infection are rare but severe.
• Risk factors include advanced age, diabetes, obesity, and prior sternotomy.

Observation:

• Sternal dehiscence often necessitates reoperation for stability.
• Effective sternal approximation is crucial for optimal healing.
• A modified Robicsek procedure with figure-of-8 wires was developed.

Findings:

• The modified Robicsek technique, termed "double-check", was implemented.
• This method enhances sternal approximation.
• It aims to reduce healing complications.

Implications:

• The "double-check" technique offers a promising solution for sternal closure.
• It may improve outcomes for patients undergoing median sternotomy.
• Further studies are needed to validate its long-term efficacy.