Median sternotomy – gold standard incision for cardiac surgeons

Journal of Clinical and Investigative Surgery. 2016;1(1):33-40 DOI 10.25083/2559.5555.11.3340

 

Journal Homepage

Journal Title: Journal of Clinical and Investigative Surgery

ISSN: 2559-5555 (Online)

Publisher: Digital ProScholar Media

Society/Institution: Digital ProScolar media

LCC Subject Category: Medicine

Country of publisher: Romania

Language of fulltext: English

Full-text formats available: PDF

 

AUTHORS

Radu Matache (Carol Davila University, Department of Thoracic Surgery, Bucharest, Romania)
Mihai Dumitrescu (Marius Nasta Clinical Hospital, Department of Thoracic Surgery, Bucharest, Romania)
Andrei Bobocea (Marius Nasta Clinical Hospital, Department of Thoracic Surgery, Bucharest, Romania)
Ioan Cordoș (Carol Davila University, Department of Thoracic Surgery, Bucharest, Romania)

EDITORIAL INFORMATION

Double blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 12 weeks

 

Abstract | Full Text

Sternotomy is the gold standard incision for cardiac surgeons but it is also used in thoracic surgery especially for mediastinal, tracheal and main stem bronchus surgery. The surgical technique is well established and identification of the correct anatomic landmarks, midline tissue preparation, osteotomy and bleeding control are important steps of the procedure. Correct sternal closure is vital for avoiding short- and long-term morbidity and mortality. The two sternal halves have to be well approximated to facilitate healing of the bone and to avoid instability, which is a risk factor for wound infection. New suture materials and techniques would be expected to be developed to further improve the patients evolution, in respect to both immediate postoperative period and long-term morbidity and mortality.