Document Detail

Sternal closure with resorbable synthetic loop suture material in children.
MedLine Citation:
PMID:  10999685     Owner:  NLM     Status:  MEDLINE    
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.
H T Keçeligil; F Kolbakir; H Akar; C Konuralp; Z Demir; M K Demirağ
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  35     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2000 Sep 
Date Detail:
Created Date:  2000-12-21     Completed Date:  2001-01-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1309-11     Citation Subset:  IM    
Faculty of Medicine, Department of Cardiovascular Surgery, Ondokuz Mayis University, Samsun, Turkey.
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MeSH Terms
Cardiopulmonary Bypass / methods*
Child, Preschool
Infant, Newborn
Sternum / surgery*
Surgical Wound Dehiscence / prevention & control
Surgical Wound Infection / prevention & control
Suture Techniques
Reg. No./Substance:
0/Dioxanes; 0/Polymers; 29223-92-5/poly-4-dioxan-2-one

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