Sternal closure with resorbable synthetic loop suture material in children
Journal of Pediatric Surgery, cilt.35, sa.9, ss.1309-1311, 2000 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 35 Sayı: 9
- Basım Tarihi: 2000
- Doi Numarası: 10.1053/jpsu.2000.9311
- Dergi Adı: Journal of Pediatric Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.1309-1311
- Anahtar Kelimeler: Absorbable suture, Poly-p-dioxanone, Sternal closure
- Ondokuz Mayıs Üniversitesi Adresli: Evet
Özet
Purpose: The reliability of poly-p-dioxanone (PDS) suture for sternal closure was tested on 264 consecutive sternotomies in the authors' department from April 1987 to May 1998. Methods: The reason for sternotomy was tetralogy of Fallot in 65 cases (24.6%), ventricular septal defect (VSD) in 38 cases (14.4%), atrial septal defect (ASD) in 77 cases (29.2%), ASD + VSD in 23 (8.7%), mitral valve replacement in 22 cases (8.3%), aortic valve replacement in 10 cases (3.8%), and other cardiac disorders in 29 cases (11.0%). Results: Sternal wound infection, sternal dehiscence, and mediastinitis occurred in 1.5% of patients (4 of 264). The overall hospital mortality rate related to the mediastinitis was 1.1% (3 of 264) in the early postoperative period. Conclusion: This absorbable suture and our different technique are a safe alternative to standard sternotomy closure after pediatric open cardiac surgery. Copyright (C) 2000 by W.B. Saunders Company.