Combined technique of sternal closure in patients with high risk of post-sternotomy complications

Karpenko I.G.; Lischuk A.N.; Koltunov A.N.; Semenov M.E.; Shogenova S.R.; Esion G.A.

doi:https://doi.org/10.17116/Cardiobulletin20231801149

Karpenko I.G.

National Medical Research Center of High Medical Technologies — Vishnevsky Central Military Clinical Hospital

Lischuk A.N.

National Medical Research Center of High Medical Technologies — Vishnevsky Central Military Clinical Hospital

Koltunov A.N.

National Medical Research Center of High Medical Technologies — Vishnevsky Central Military Clinical Hospital

Semenov M.E.

National Medical Research Center of High Medical Technologies — Vishnevsky Central Military Clinical Hospital

Shogenova S.R.

National Medical Research Center of High Medical Technologies — Vishnevsky Central Military Clinical Hospital

Esion G.A.

National Medical Research Center of High Medical Technologies — Vishnevsky Central Military Clinical Hospital

Combined technique of sternal closure in patients with high risk of post-sternotomy complications

Authors:

Karpenko I.G., Lischuk A.N., Koltunov A.N., Semenov M.E., Shogenova S.R., Esion G.A.

More about the authors

Journal: Russian Cardiology Bulletin. 2023;18(1): 49‑54

DOI: 10.17116/Cardiobulletin20231801149

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To cite this article:

Karpenko IG, Lischuk AN, Koltunov AN, Semenov ME, Shogenova SR, Esion GA. Combined technique of sternal closure in patients with high risk of post-sternotomy complications. Russian Cardiology Bulletin. 2023;18(1):49‑54. (In Russ.)
https://doi.org/10.17116/Cardiobulletin20231801149

Подписка 2026 Кардиологический вестник (Russian Cardiology Bulletin)

Использование инфографики авторами научных работ

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Abstract:

OBJECTIVE

To evaluate the impact of combined technique of sternal closure with ZipFix system in the incidence of postoperative wound complications in patients with high risk of post-sternotomy complications.

MATERIAL AND METHODS

The study included 202 patients between 2015 and 2018 divided into 2 groups: group 1 — 119 patients who underwent standard sternal closure (steel wire), group 2 — 83 patients who underwent combined sternal closure. We analyzed postoperative local complications such as superficial and deep sternal wound infection, instability of the sternum and sternal dehiscence with subsequent redo osteosynthesis. Moreover, we assessed mortality, incidence of stroke, postoperative bleeding and pneumothorax.

RESULTS

Combined technique of sternal closure with ZipFix system was followed by significantly lower incidence of postoperative wound dehiscence (p<0.05), superficial sternal wound infection (p<0.001), deep wound infection (p<0.05), sternal instability (p<0.001) and major sternal dehiscence requiring redo osteosynthesis (p<0.05).

CONCLUSION

The modified technique with ZipFix system was effective and significantly reduced the incidence of post-sternotomy complications in high-risk patients.

Keywords:

median sternotomy

sternal closure

sternal dehiscence

ZipFix

Authors:

Karpenko I.G.

National Medical Research Center of High Medical Technologies — Vishnevsky Central Military Clinical Hospital

Lischuk A.N.

National Medical Research Center of High Medical Technologies — Vishnevsky Central Military Clinical Hospital

Koltunov A.N.

National Medical Research Center of High Medical Technologies — Vishnevsky Central Military Clinical Hospital

Semenov M.E.

National Medical Research Center of High Medical Technologies — Vishnevsky Central Military Clinical Hospital

Shogenova S.R.

National Medical Research Center of High Medical Technologies — Vishnevsky Central Military Clinical Hospital

Esion G.A.

National Medical Research Center of High Medical Technologies — Vishnevsky Central Military Clinical Hospital

Received:

19.12.2022

Accepted:

20.01.2023

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References:

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