Cardiology
Conditions
Interventions
Simple interrupted stainless steel sutures method
Figure of eight stainless steel sutures method
Modified method of Simple interrupted sutures except for one figure of eight suture at sternal angle
Sponsors
Ahmed Soliman
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: The study included adult patients who underwent elective cardiac surgeries requiring median sternotomy.
Exclusion criteria
Exclusion criteria: While exclusion criteria were patients with known metal allergies or contraindications to steel wire sutures and patients with previous radiation therapy on the chest, emergency surgery cases and patients who underwent a redo surgery, non-centralized/ midline sternotomy, presence of transverse fracture or the need of closure technique other than the three techniques of our study e.g. Robicsek’s Weave, cases in which bilateral internal thoracic artery harvesting was done, and cases re-operated for bleeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sternal dehiscence, defined as separation of sternal halves by more than 2 mm within 30 days, was confirmed clinically and radiographically. | — |
Secondary
| Measure | Time frame |
|---|---|
| postoperative pain assessed by the Numeric Pain Rating Scale (NPRS) within 72 hours, sternal closure time from first to last wire twist, duration of mechanical ventilation, vasoactive inotropic score (VIS), postoperative bleeding during the first 24 hours, and ICU and total hospital stay durations. Additional defined variables included obesity (BMI = 30 kg/m²), hypoalbuminemia (serum albumin 300 min and >120 min, respectively). | — |
Countries
Egypt
Contacts
Public ContactAhmed Soliman
Faculty of Medicine Mansoura University
Outcome results
None listed