Süleyman Nazif Orhan, Mehmet H. Özyazıcıoğlu

Sternum Kapama Yöntemleri

Good sternal fixation is the most important factor for preventing post-sternotomal complications. To this end, a pleathora of methods have already been developed. This study, critically reviews most widely used closure techniques, in both clinical and mechanical research, and their relative success as well as weaknesses. No decisive clinical or biomechanical agreement has been reached for the best fixation technique as yet, however steel wires currently are the preferred method among surgeons.

Anahtar Kelimeler:

sternum, median sternotomi, sternum kapama yöntemleri, göğüs cerrahisi

Closing Sternum Methods

Keywords:

sternum, median sternotomy, sternum closure techniques, thoracic surgery,

PDF

___

Ahn, J., Christakis, A., Dieselman, J. and Sandefer, A., 2009. Design of an optimized rigid fixation system for the osteoporotic sternum. B.Sc. Thesis, Worcester Polytechnic Institute, Worcester, Massachusetts.
Broadhurst, J., Moorjani, N. and Ohri, S., 2010. Traumatic fracture of nitinol thermoreactive sternal clips. Interactive CardioVascular and Thoracic Surgery, 10 (3), 465-466.
Casha, A.R., Yang, L., Kay, P.H., Saleh, M. and Cooper, G.J., 1999a. A biomechanical study of median sternotomy closure techniques. European Journal of Cardio-thoracic Surgery, 15 (3), 365-369.
Centofanti, P., La Torre, M., Barbato L., Verzini, A., Patane, F. and Di Summa, M., 2002. Sternal closure using semirigid fixation with thermoreactive clips. The Annals of Thoracic Surgery, 74 (3), 943-945.
Cheng, W., Cameron, D.E., Warden, K.E., Fonger, J.D.and Gott, V.L., 1993. Biomechanical study of sternal closure techniques. The Annals of Thoracic Surgery, 55 (3), 737-740.
Cohen, D.J. and Griffin, L.V., 2002. A biomechanical comparison of three sternotomy closure techniques. The Annals of Thoracic Surgery, 73 (2), 563-568.
Dieselman, J.C., 2011. Comparison of alternative rigid sternal fixation techniques. MS Thesis, Worcester Polytechnic Institute, Worcester, Massachusetts.
Dilibal, S., 2005. Nikel-titanyum şekil bellekli alaşım üretimi ve şekil bellek eğitimi. Doktora Tezi, Yıldız Teknik Üniversitesi Fen Bilimleri Enstitüsü, İstanbul.
Eğileten, Z.B., Kahraman, D., Eryılmaz, S., Uysalel, A. ve Özyurda, Ü., 2006. Sternal komplikasyonlar açısından risk taşıyan hastalarda profilaktik 8-figürü ve Robicsek metodu kombinasyonu. Turkiye Klinikleri Journal of Medical Sciences, 26 (1), 51-55.
Fedak, P.W.M., Kolb, E., Borsato, G., Frohlich, D.E.C., Kasatkin, A., Narine, K., Akkarapaka, N. and King, K.M., 2010. Kryptonite bone cement prevents pathologic sternal displacement. The Annals of Thoracic Surgery, 90 (3), 979-985
Fedak, P.W.M. and Kasatkin, A., 2011. Enhancing sternal closure using kryptonite bone adhesive: technical report. Surgical Innovation, 18 (4), 8-11.
Glennie, S., Shepherd, D.E.T. and Jutley, R.S., 2002. Strength of wired sternotomy closures: effect of number of wire twists. Interactive Cardiovascular and Thoracic Surgery, 2 (1), 3-5.
Johnston, R.H., Rinaldi, R.G., Vaughan, G.D. and Bricker, D., 1985. Mersilene ribbon closure of the median sternotomy: an improvement over wire closure. The Annals of Thoracic Surgery, 39 (1), 88-89.
Kalush, S.L. and Bonchek, L.I., 1976. Peristernal closure of median sternotomy using stainless steel bands. The Annals of Thoracic Surgery, 21 (2), 172-173.
Keçeligil, H.T., Kolbakır, F., Kalaç, R. ve Erk, M.K., 1995. Pediatrik vakalarda sternotominin loop pds sütürle kapatılması. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 3 (1), 93-94.
Kiessling, A.H., Isgro, F., Weisse, U., Möltner, A., Saggau, W. and Boldt, Y., 2005. Advanced sternal closure to prevent dehiscence in obese patients. The Annals of Thoracic Surgery, 80 (4), 1537-1539.
Kun, H. and Xiubin, Y., 2009. Median sternotomy closure: review and update research. Journal of Medical Colleges of PLA, 24 (2), 112-117.
Levin, L.S., Miller, A.S., Gajjar, A.H., Bremer, K.D., Spann, J., Milano, C.A. and Erdmann, D., 2010. An innovative approach for sternal closure. The Annals of Thoracic Surgery, 89 (6), 1995-1999.
Losanoff, J.E., Collier, A.D., Wagner-Mann, C.C., Richman, B.W., Huff, H., Hsieh, F. Diaz-Arias, A., Jones, J.W. 2004. Biomechanical comparison of median sternotomy closures, The Annals of Thoracic Surgery, 77 (1), 203- 209.
Losanoff, J.E., Basson, M.D., Gruber, S.A., Huff, H. and Hsieh, F., 2007. Single wire versus double wire loops for median sternotomy closure: experimental biomechanical study using a human cadaveric model. The Annals of Thoracic Surgery, 84 (4), 1288-1293.
Luciani, N., Anselmi, A. and Possati, G., 2006. Adjusting the indication to polydioxane suture for elective sternal closure. The Journal of Thoracic and Cardiovascular Surgery, 132 (5), 1243-1244.
McGregor, W.E., Trumble, D.R. and Magovern, J.A., 1999. Mechanical analysis of midline sternotomy wound closure. The Journal of Thoracic and Cardiovascular Surgery, 117 (6), 1144-1149.
McGregor, W.E., Payne, M., Trumble, D.R., Farkas, K.M. and Magovern, J.A., 2003. Improvement of sternal closure stability with reinforced steel wires. The Annals of Thoracic Surgery, 76 (5), 1631-1634.
Mostofi, S.B., 2005. Who’s who in orthopedics. Springer, 389, London.
Okutan, H., Yavuz, T., Ulusan, V., Tenekeci, C., Öcal, A., İbrişim, E. ve Kutsal, A., 2001. Açık kalp cerrahisi sonrası yaşlı hastalarda yeni bir sternum kapama tekniği ile ilgili deneyimler. Turkish Journal of Geriatrics, 4 (2), 55- 58.
Ozaki, W., Buchman, S.R., Iannettoni, M.D. and Frankenburg, E.P., 1998. Biomechanical study of sternal closure using rigid fixation techniques in human cadavers. The Annals of Thoracic Surgery, 65 (6), 1660-1665.
Öztekin, Ö., 2011. Sternotomi ve torakotomi uygulamasının respiratuvar kas gücü üzerine etkileri. Uzmanlık Tezi, Dokuz Eylül Üniversitesi Tıp Fakültesi, İzmir.
Pai, S., Gunja, N.J., Dupak, E.L., McMahon, N.L., Coburn, J.C., Lalikos, J.F., Dunn, R.M., Francalancia, N., Pins, G.D. and Billiar, K.L., 2007. A mechanical study of rigid plate configurations for sternal fixation. Annals of Biomedical Engineering, 35 (5), 808-816.
Schimmer, C., Sommer, S.P., Bensch, M., Bohrer, T., Aleksic, I. and Leyh, R., 2008. Sternal closure techniques and postoperative sternal wound complications in elderly patients. The European Journal of Cardio-thoracic Surgery, 34 (1), 132-138.
Song, D.H., Lohman, R.F., Renucci, J.D., Jeevanandam, V. and Rahman, J., 2004. Primary sternal plating in high-risk patients prevents mediastinitis. European Journal of Cardio-thoracic Surgery, 26 (2), 367-372.
Tekümit, H., Cenal, A.R., Tataroğlu, C., Uzun, K. ve Akıncı, E., 2009. Comparison of figure-of-eight and simple wire sternal closure techniques in patients with non-microbial sternal dehiscence. The Anatolian Journal of Cardiology, 9 (5), 411-416.
Zurbrügg, H.R., Freestone, T., Bauer, M. and Hetzer, R., 2000. Reinforcing the conventional sternal closure. The Annals of Thoracic Surgery, 69 (6), 1957-1958.