Braided Polyester versus Standard Wire in Sternal Closure in High Risk Patients | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 10, Volume 81, Issue 7, October 2020, Pages 2368-2370 PDF (124.98 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2020.132879 | ||
| Authors | ||
| Fouad M. Rasekh; Ahmed S. Mahmoud M* | ||
| Cardiothoracic Surgery, Faculty of Medicine, Cairo University | ||
| Abstract | ||
| Objective: The aim of this study was to compare braided polyester sternal closure versus standard wire closure in high-risk patients who are more susceptible to have deep sternal wound infections and mediastinitis after cardiac surgeries. Patients and Methods: Between February 2017 and December 2019 risk factors for postoperative deep wound infections and mediastinitis and mortality was collected for 100 adult patients undergoing open-heart surgery under cardiopulmonary bypass. Patients were divided to two groups, those who underwent sternal closure using either braided polyester or standard metal wire. Follow-up data on sternal wound healing and deep sternal wound infections were assessed for up to two months after surgery in the Outpatient Clinics. Results: The followingriskfactors wereassociatedwithahigherincidenceofdeepsternalwoundinfectionsandmediastinitis in both groups. There was no mortality in both groups, the number of deep sternal infection and mediastinitis with sternal dehiscence was 4 patients from group A (Ethibond) and 5 from group B (standard wire). Conclusion: This study showed that braided polyester could be used safely in sternal closure the same as standard wire in high risk patients. | ||
| Keywords | ||
| Braided polyester; Mediastinitis; High risk patients | ||
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