Related Experiment Video
Updated: Feb 4, 2026
07:41
Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
4.4K
New sternal closure methods versus the standard closure method: systematic review and meta-analysis
Daniele C Cataneo1, Tarcisio A Dos Reis2, Gilmar Felisberto3
1Division of Thoracic Surgery, Department of Surgery, Botucatu School of Medicine, São Paulo State University, UNESP, São Paulo, Brazil.
Interactive Cardiovascular and Thoracic Surgery
|October 9, 2018
Summary
New sternal closure methods show minimal difference in preventing sternal wound complications compared to standard methods. However, these novel techniques may reduce postoperative pain after sternotomy.
Area of Science:
- Cardiovascular Surgery
- Surgical Innovation
- Wound Healing Research
Background:
- Sternotomy is a common surgical approach, often leading to sternal wound complications.
- Standard sternal closure methods have been used for decades, with varying success rates in preventing complications.
- Newer sternal closure techniques aim to improve patient outcomes and reduce the incidence of sternal dehiscence and infection.
Purpose of the Study:
- To systematically review the efficiency of novel sternal closure methods in preventing sternal wound complications post-sternotomy.
- To compare the effectiveness of rigid plates, thermoreactive clips, cables, and flat wires against standard sternal closure.
- To evaluate the impact of new closure methods on deep sternal wound infection, superficial wound infection, and mortality.
Main Methods:
- Systematic review of randomized clinical trials.
- Inclusion of studies comparing new sternal closure devices (rigid plates, thermoreactive clips, cables, flat wires) with standard closure.
- Analysis of data from 1810 adult patients across seven clinical trials.
Main Results:
- New sternal closure methods demonstrated no significant difference in preventing deep sternal wound infection (RR 0.38, 95% CI 0.02-7.63) or superficial wound infection (RR 1.34, 95% CI 0.46-3.92).
- Mortality rates were similar between new and standard closure methods (RR 1.16, 95% CI 0.42-3.21).
- A statistically significant reduction in postoperative pain scores was observed with new sternal closure methods (MD -0.57, 95% CI -0.98 to -0.16).
Conclusions:
- Novel sternal closure techniques offer comparable efficacy to standard methods in preventing major sternal wound complications.
- The primary advantage of new sternal closure methods appears to be a reduction in patient-reported pain.
- Further research is needed to analyze outcomes like sternal union and hospital stay due to high heterogeneity in existing studies.
More Related Videos
Related Concept Videos
01:28Angle Closure Glaucoma: Treatment
1.3K
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
1.3K
01:17Systematic Sampling Method
13.3K
Sampling is a technique to select a portion (or subset) of the larger population and study that portion (the sample) to gain information about the population. Data are the result of sampling from a population. The sampling method ensures that samples are drawn without bias and accurately represent the population. Because measuring the entire population in a study is not practical, researchers use samples to represent the population of interest.
Systematic sampling is one of the simplest methods...
Systematic sampling is one of the simplest methods...
13.3K
01:09Empirical Method to Interpret Standard Deviation
10.2K
The empirical rule, also known as the three-sigma rule, allows a statistician to interpret the standard deviation in a normally distributed dataset. The rule states that 68% of the data lies within one standard deviation from the mean, 95% lies within two standard deviations from the mean, and 99.7% lies within three standard deviations from the mean. Additionally, this rule is also called the 68-95-99.7 rule.
This rule is used widely in statistics to calculate the proportion of data values...
This rule is used widely in statistics to calculate the proportion of data values...
10.2K
03:50The Scientific Method
66.3K
Chemistry is an empirical science. Scientists often pose questions to understand the chemistry in everyday life and seek answers to these questions. To achieve this, scientists follow a definitive series of steps that together make up the Scientific Method. This approach involves making observations, asking questions, building a hypothesis, conducting experiments, analyzing results, and forming a conclusion.
66.3K
01:10Review and Preview
8.4K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.4K
01:13Review and Preview
11.3K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
11.3K