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- Title
Comparative study of sternum closure with conventional (steel wire) and Hybrid technique (steel wire with zipflix band) after sternotomy for cardiac surgeries.
- Authors
S., RAMA ALAGAPPAN; LAL, SAMEER; KUMAR, SATISH; GEELANI, MUHAMMAD ABID; SATYARTHI, SUBODH
- Abstract
Objective: This study aimed to compare the outcomes of sternotomy closure using conventional and hybrid techniques and investigate their associated complications in patients undergoing cardiac surgery. Methods: A retrospective observational study was conducted, analyzing data from medical records and surgical databases. The study included a cohort of patients who underwent sternotomy closure using conventional and hybrid techniques at a tertiary care hospital. Patient demographics, surgical details, intraoperative factors, postoperative outcomes, and follow-up information were collected. Descriptive statistics were used to summarize the data. Results: A total of 50 patients and 25 in each group. The majority of cases are off pump (42 patients) and on pump (8 patients) .Analysis of postoperative outcomes showed that 92% of patients achieved satisfactory sternal healing, and bone fusion was observed in 98% of cases. The rate of sternal dehiscence was 2%, with no statistically significant difference between the two closure techniques (p=0.62). Surgical site infections occurred in 9% of patients, with no significant difference between the closure groups (p=0.88) Conclusion: Both conventional and hybrid techniques demonstrated comparable efficacy in achieving successful sternal union after sternotomy closure. The rates of sternal dehiscence and surgical site infections were similar between the closure techniques. Further research is needed to identify risk factors and develop preventive strategies to reduce complications associated with sternotomy closure.
- Subjects
STEEL wire; CARDIAC surgery; SURGICAL site infections; MEDICAL record databases; STERNUM
- Publication
Indian Journal of Basic & Applied Medical Research, 2023, Vol 12, Issue 3, p204
- ISSN
2250-284X
- Publication type
Article
- DOI
10.36855/IJBAMR/2022/98215.5920