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Sternal closure with resorbable synthetic suture material in children
R J Schwab1, J C Hähnel, S Paek
1Department of Heart and Cardiovascular Surgery, German Heart Centre, Munich.
The Thoracic and Cardiovascular Surgeon
|June 1, 1994
Summary
Resorbable sutures like polydioxanon (PDS) cord offer complication-free sternal stability, good wound healing, and excellent compatibility in pediatric patients after median sternotomy.
Area of Science:
- Pediatric Surgery
- Biomaterials Science
- Wound Healing Research
Background:
- Resorbable sutures are routinely used for sternal closure after pediatric median sternotomy.
- Limited follow-up data exists on the long-term effects of synthetic sutures on sternal stability, wound healing, and biocompatibility in children.
Purpose of the Study:
- To evaluate the efficacy and safety of polydioxanon (PDS) cord for sternal closure in pediatric patients.
- To assess sternal stability, wound healing, and material compatibility in children undergoing median sternotomy with PDS cord closure.
Main Methods:
- A study involving 59 pediatric patients (weighing up to 30 kg) who underwent sternal closure using synthetic resorbable materials (Vicryl 4/0, PDS).
- Evaluation focused on sternal stability, wound healing outcomes, and biocompatibility of the sutures.
Main Results:
- The use of synthetic resorbable materials, including PDS cord, resulted in complication-free sternal stability.
- Good wound healing and very good biocompatibility were observed in the pediatric cohort.
- No adverse events related to the resorbable sutures were reported.
Conclusions:
- Polydioxanon (PDS) cord is a suitable and reliable method for sternal closure in pediatric patients.
- The use of PDS cord leads to favorable clinical outcomes, including stable sternal closure and good healing.
- Synthetic resorbable sutures represent a safe and effective option for pediatric sternal closure.