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[Closure of sternotomy with Cotrel staplers]
J M Combes1, J M Carrie, P Soula
1Service de Chirurgie Cardio-vasculaire, CHR Rangueil, Toulouse.
Annales De Chirurgie
|January 1, 1993
Summary
A novel median sternotomy closure technique using Cotrel-Dubousset (CD) staples proved effective in 100 patients. This method successfully treated sternal pseudarthrosis and is suitable for high-risk individuals and complex surgeries.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Orthopedic Implants
Background:
- Median sternotomy is a common surgical approach.
- Sternotomy closure complications include dehiscence and infection.
- Existing closure methods have limitations, especially in high-risk patients.
Purpose of the Study:
- To introduce and evaluate a new method for median sternotomy closure.
- To assess the efficacy of immediate compression with Cotrel-Dubousset (CD) staples.
- To determine the applicability of this technique in complex cases and high-risk populations.
Main Methods:
- A series of 100 patients underwent median sternotomy closure using 2-3 CD staples.
- The technique involves immediate compression for sternal approximation.
- Patient outcomes and complication rates were retrospectively analyzed.
Main Results:
- The CD staple method demonstrated high effectiveness in sternotomy closure.
- Septic sternal pseudarthrosis was effectively treated with this technique.
- The method was successfully applied to patients with advanced age, osteoporosis, obesity, diabetes, and respiratory insufficiency.
Conclusions:
- Immediate compression with CD staples offers a safe and effective approach to median sternotomy closure.
- This technique is a viable curative treatment for septic sternal pseudarthrosis.
- The method is particularly beneficial for high-risk surgical candidates and cases involving internal mammary artery resection.