Does Elective Sternal Plating Combined with Steel Wire Reduce Sternal Complication Rates in Patients with Obesity?

被引:0
作者
Celik, Ersin [1 ]
Cora, Ahmet Rifki [1 ]
机构
[1] Isparta City Hosp, Dept Cardiovasc Surg, Sanayi Mahallesi Atatuk Bulvari 51, TR-32200 Isparta, Turkiye
关键词
Sternotomy; Sternal Dehiscence; Sternal Closure; Titanium; Sternal Infection; MEDIASTINITIS; INFECTION;
D O I
10.21470/1678-9741-2022-0089
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: In this study, sternal complication rates of sternal closures with steel wire or steel wire combined with titanium plate in patients with obesity that underwent cardiac surgery were investigated. Methods: The data of 316 patients that underwent cardiac surgery between May 2018 and October 2021 were analyzed retrospectively; 124 patients withbody mass index (BMI) >= 30 kg/m(2) were divided into group I, patients whose sternotomy was performed with steel wires, and group II, patients whose sternotomy was performed with steel wire combined with titanium plates. Results: A total of 124 patients with BMI >= 30 kg/m(2) were divided into group I (n=88 [70.9%]) and group II (n=36 [29.1%]). The rate of male patients was found to be significantly higher in group I, whereas the rate of female patients was significantly higher in group II (P<0.001). BMI values were found to be low in group I and high in group II (P<0.001). The distribution of complications was different in the BMI >= 35.00-39.99 kg/m(2) and >= 40 kg/m(2) groups (P=0.003). Development of complications was found to be higher in patients with BMI >= 40 kg/m(2). Sternal dehiscence was observed in two patients in group I, while no dehiscence was observed in group II. Conclusion: The lower incidence of complications and the absence of non-infectious sternal complications and sternal dehiscence in patients with BMI >= 35 kg/m(2) that underwent steel wire combined titanium plate sternal closure strengthened the idea that plate-supported sternal closure can prevent sternal complications in high-risk patients.
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页码:367 / 374
页数:8
相关论文
共 21 条
  • [1] The Society of Thoracic Surgeons Clinical Practice Guidelines on Arterial Conduits for Coronary Artery Bypass Grafting
    Aldea, Gabriel S.
    Bakaeen, Faisal G.
    Pal, Jay
    Fremes, Stephen
    Head, Stuart J.
    Sabik, Joseph
    Rosengart, Todd
    Kappetein, A. Pieter
    Thourani, Vinod H.
    Firestone, Scott
    Mitchell, John D.
    [J]. ANNALS OF THORACIC SURGERY, 2016, 101 (02) : 801 - 809
  • [2] A review of sternal closure techniques
    Alhalawani, Adel M. F.
    Towler, Mark R.
    [J]. JOURNAL OF BIOMATERIALS APPLICATIONS, 2013, 28 (04) : 483 - 497
  • [3] Sternotomy closure using rigid plate fixation: a paradigm shift from wire cerclage
    Allen, Keith B.
    Icke, Kyle J.
    Thourani, Vinod H.
    Naka, Yoshifinni
    Grubb, Kendra J.
    Grehan, John
    Patel, Nirav
    Guy, T. Sloane
    Landolfo, Kevin
    Gerdisch, Marc
    Bonnell, Mark
    [J]. ANNALS OF CARDIOTHORACIC SURGERY, 2018, 7 (05) : 611 - 620
  • [4] [Anonymous], 2022, Obesity
  • [5] A biomechanical study of median sternotomy closure techniques
    Casha, AR
    Yang, L
    Kay, PH
    Saleh, M
    Cooper, GJ
    [J]. EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 1999, 15 (03) : 365 - 369
  • [6] Cohen DJ, 2002, ANN THORAC SURG, V73, P563
  • [7] Sternal reconstruction after post-sternotomy dehiscence and mediastinitis
    Dell'Amore, Andrea
    Congiu, Stefano
    Campisi, Alessio
    Mazzarra, Sara
    Zanoni, Silvia
    Giunta, Domenica
    [J]. INDIAN JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2020, 36 (04) : 388 - 396
  • [8] Postoperative mediastinitis: Classification and management
    ElOakley, RM
    Wright, JE
    [J]. ANNALS OF THORACIC SURGERY, 1996, 61 (03) : 1030 - 1036
  • [9] Cause-specific excess deaths associated with underweight, overweight, and obesity
    Flegal, Katherine M.
    Graubard, Barry I.
    Williamson, David F.
    Gail, Mitchell H.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2007, 298 (17): : 2028 - 2037
  • [10] Mediastinitis and cardiac surgery - an updated risk factor analysis in 10,373 consecutive adult patients
    Gummert, JF
    Barten, MJ
    Hans, C
    Kluge, M
    Doll, N
    Walther, T
    Hentschel, B
    Schmitt, DV
    Mohr, FW
    Diegeler, A
    [J]. THORACIC AND CARDIOVASCULAR SURGEON, 2002, 50 (02) : 87 - 91