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Dyuzhikov A.A.

The Rostov State Medical University, Rostov-on-Don, Russia

Kartashov A.A.

Tsentr kardiokhirurgii GBU Rostovskoĭ oblasti "Rostovskaia oblastnaia klinicheskaia bol'nitsa #1"

Comparative efficacy of different sternum osteosynthesis techniques in obese patients with coronary heart disease after coronary artery bypass grafting

Authors:

Dyuzhikov A.A., Kartashov A.A.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2013;6(5): 38‑41

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COMPARATIVE EFFICACY OF DIFFERENT STERNUM OSTEOSYNTHESIS TECHNIQUES IN OBESE PATIENTS WITH CORONARY HEART DISEASE AFTER CORONARY ARTERY BYPASS GRAFTING
COMPARATIVE EFFICACY OF DIFFERENT STERNUM OSTEOSYNTHESIS TECHNIQUES IN OBESE PATIENTS WITH CORONARY HEART DISEASE AFTER CORONARY ARTERY BYPASS GRAFTING

To cite this article:

Dyuzhikov AA, Kartashov AA. Comparative efficacy of different sternum osteosynthesis techniques in obese patients with coronary heart disease after coronary artery bypass grafting. Russian Journal of Cardiology and Cardiovascular Surgery. 2013;6(5):38‑41. (In Russ.)

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Efficacy of polyamide monofilament string (35 patients) versus steel wire (50 patients) for sternum osteosynthesis was comparatively analyzed in patients with coronary heart disease and obesity. It is proved that sternum osteosynthesis using caprone in comparison with traditional technique via wire is accompanied by lesser infectious complications after median sternotomy, less frequent sternum instability, limitation of inflammatory reactions with leukocytosis presentation, reduction of hospital length of stay, amount of antibiotic therapy and sternum pain in long-term postoperative period.

Keywords:

coronary artery bypass grafting
sternotomy
sternum osteosynthesis
postoperative complications.

Authors:

Dyuzhikov A.A.

The Rostov State Medical University, Rostov-on-Don, Russia

Kartashov A.A.

Tsentr kardiokhirurgii GBU Rostovskoĭ oblasti "Rostovskaia oblastnaia klinicheskaia bol'nitsa #1"

List of references:

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  4. Farashchuk N.F. Ustroistvo dlya opredeleniya svobodnoi i svyazannoi vody v biologicheskikh tkanyakh. Avt. svid. №1442186. Opubl. 8.08.88.
  5. Dogan O.F., Demircin M., Duman U. et al. The use of suture anchor for sternal nonunion as a new approach (Demicin-Dogan technique) Heart. Surg Forum 2005; 8: 5: 64-69.
  6. Franco S., Herrera A.M., Atehortúa M. et al. Use of steel bands in sternotomy closure: implications in high-risk cardiac surgical population. Int Cardiovasc Thorac Surg 2009; 8: 200.
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  9. Olbrecht V.A., Barreiro C.J., Bonde P.N. et al. Clinical outcomes of noninfectious sternal dehiscence after median sternotomy. Ann Thorac Surg 2006; 82: 902.
  10. Petzina R., Hoffmann J., Navasardyan A. et al. Negative pressure wound therapy for post-sternotomymediastinitis reduces mortality rate and sternal re-infection rate compared to conventional treatment. Eur J Cardiothorac Surg 2010; 38: 110.
  11. Sharma R., Puri D., Panigrahi B.P., Virdi I.S. A modified parasternal wire technique for prevention and treatment of sternal dehiscence. Ann Thorac Surg 2004; 77: 1: 210-213.
  12. Song D.H., Lohman R.F., Renucci J.D. et al. Primary sternal plating in high-risk patients mediastinitis. Eur J Cardiothorac Surg 2004; 26: 2: 367-372.

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