Thorac Cardiovasc Surg 2010; 58(4): 232-234
DOI: 10.1055/s-0029-1240833
How to do it

© Georg Thieme Verlag KG Stuttgart · New York

A Simple Device Designed to Facilitate Sternal Closure and Avoid Complications

M. Santini1 , G. Vicidomini1 , A. Fiorelli1
  • 1Thoracic Surgery Unit, Second University of Naples, Naples, Italy
Further Information

Publication History

received October 20, 2009

Publication Date:
31 May 2010 (online)

Abstract

We report an easy technique for sternal closure based on the use of a steel spoon. The spoon is placed under the line of the sternotomy where a stainless steel wire is passed through the bone. The tip of the wire passes through the bone and is then placed in the spoon which guides and facilitates the progressive passage of the wire through the bone. Finally, the spoon is symmetrically placed under the sternum on the opposite side.

References

  • 1 McGregor W E, Payne M, Trumble D R, Farkas K M, Magovern J A. Improvement of sternal closure stability with reinforced steel wires.  Ann Thorac Surg. 2003;  76 1631-1634
  • 2 Hosie K, Dunning J, Bailey J, Firman R. Glove perforation during sternotomy closure.  Lancet. 1988;  2 1500
  • 3 Eklund A M, Ojaja J, Laitinen K, Valtonen M, Werkkala K A. Glove punctures and postoperative skin flora of hands in cardiac surgery.  Ann Thorac Surg. 2002;  74 149-153
  • 4 Whyte W, Hambraeus A, Laurell G, Hoborn J. The relative importance of routes and sources of wound contamination during general surgery. I. Non-airborne.  J Hosp Infect. 1991;  18 93-107
  • 5 Esteban J, Gomez J, Martell M, Cabot B, Quer J, Camps J, González A, Otero T, Moya A, Esteban R, Guardia J. Transmission of hepatitis C virus by a cardiac surgeon.  N Engl J Med. 1996;  334 555-560

Prof. Mario Santini

Thoracic Surgery Unit
Second University of Naples

Piazza L. Miraglia 2

80138 Naples

Italy

Phone: + 39 08 15 66 52 26

Fax: + 39 08 15 66 52 30

Email: mario.santini@unina2.it

    >