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| http://dx.doi.org/10.12659/MSM.890279 | DOI Listing |
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A Randomized Study Evaluating Clinical Efficacy and Safety of Trusteel® and Ethisteel® Surgical Steel Sutures for Sternal Closure in Subjects Undergoing Surgical Procedures by Sternotomy.
Cureus
April 2024
Clinical Affairs, Healthium Medtech Limited, Bengaluru, IND.
Introduction: Sternal dehiscence and other post-sternotomy complications, viz. superficial and deep sternal wound infection, mediastinitis, and sternal instability increase the risk of mortality. Sternotomy closure with steel sutures results in a low complication rate.
View Article and Find Full Text PDFComputed Tomography Scanning for Sternal Wound Infections: A Systematic Review.
Ulster Med J
January 2024
Department of Cardiothoracic Surgery, Liverpool Heart and Chest, Liverpool, UK.
Background: Sternal wound infection (SWI) has always been a significant risk in patients who undergo sternotomies as part of their cardiac surgical procedures. Computed tomography (CT) imaging is often used to diagnose and assess sternal wound infections. Its purpose includes identifying and locating infection and any sternal dehiscence.
View Article and Find Full Text PDFA radiologist's guide to median sternotomy.
Clin Radiol
January 2024
Department of Radiology, St Bartholomew's Hospital, Barts Health NHS Trust, London, UK.
Article Synopsis
- Median sternotomy is the main surgical approach in cardiac surgeries, involving the division of the sternum for access to the heart and lungs, especially for congenital defects and CABG.
- This review highlights pre-procedural imaging assessments and post-sternotomy complications based on experiences from a tertiary cardiothoracic centre.
- Key topics include imaging features of mediastinal adhesions, safe distances for re-sternotomy, and potential postoperative issues such as sternal wire fractures, sternal dehiscence, and soft tissue infections.
Troponin T and N-Terminal Pro-Brain Natriuretic Peptide Are Associated with Long-Term All-Cause Mortality in Patients with Post-Sternotomy Mediastinitis following Coronary Artery Bypass Grafting: A 15-Year Follow-Up Study.
Cardiology
December 2023
Department of Heart Disease, Haukeland University Hospital, Bergen, Norway.
Background: Deep sternal wound/mediastinitis is a rare but feared complication in coronary artery bypass grafting (CABG) patients and seems to increase the risk of cardiac death, and is also associated with the risk of early internal mammary artery (IMA) graft obstruction. The pathological mechanism explaining the link between mediastinitis and IMA graft obstruction and the impact on mortality is complex, multifactorial, and not fully investigated.
Objectives: Mediastinitis has been associated with increased concentrations of N-terminal pro-brain natriuretic peptide (NT-proBNP) and troponin T (TnT) at mid-term follow-up, representing persistent low-grade myocardial injury and impaired cardiac function.
Introduction: Median sternotomy is the most commonly used approach in open cardiac surgery. As in any other surgery, surgical site infections are a known phenomenon, but morbidity depends on the depth of infection. Superficial wound infections can be managed conservatively; however, deep sternal wound infections need an aggressive approach to prevent disastrous consequence like mediastinitis.
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