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Bootlace Technique for Delayed Sternal Closure in Pediatric Cardiac Surgery
Mohamed S Nassar1,2, Bari Murtuza1, Asif Hasan1
11 Department of Pediatric Cardiothoracic Surgery, Freeman Hospital, Newcastle upon Tyne, United Kingdom.
World Journal for Pediatric & Congenital Heart Surgery
|December 31, 2016
Summary
Delayed sternal closure is often needed after cardiac surgery, particularly in size-mismatched heart transplants. Our gradual chest approximation technique simplifies closing the sternum in challenging post-operative scenarios.
Area of Science:
- Cardiac Surgery
- Thoracic Surgery
- Transplantation Surgery
Background:
- Delayed sternal closure is a common necessity after cardiac surgery.
- This approach is particularly beneficial in cardiac transplantation cases involving significant donor/recipient size discrepancies.
- Managing acute intrathoracic pressure changes during chest closure can be difficult.
Purpose of the Study:
- To describe a novel technique for gradual chest approximation.
- To facilitate sternal closure in challenging post-cardiac surgery situations.
Main Methods:
- A technique of gradual chest approximation is described.
- The method aims to manage intrathoracic pressure changes during closure.
Main Results:
- The described technique facilitates sternal closure in difficult situations.
- This method is particularly useful after cardiac transplantation with size mismatch.
Conclusions:
- Gradual chest approximation is an effective technique for managing delayed sternal closure.
- This method offers a solution for challenging chest closures following cardiac surgery and transplantation.
Keywords:
delayed sternal closure
