Figure-of-eight vs. Interrupted sternal wire closure of median sternotomy

Mohd Ramzisham Abdul Rahman, Awang Ruzairee Raflis, Mohd Ghani Khairulasri, Ooi Joanna Su Min, Abdullah Mohd Fikri, Mohd Dimon Zamrin

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Sternal dehiscence is a rare but devastating complication following median sternotomy for cardiac surgery. The optimal technique for sternal closure is unclear. We conducted this prospective randomized trial to compare the incidence of sternal dehiscence after figure-of-8 and simple interrupted suturing in patients undergoing coronary artery bypass grafting. Between January 2007 and June 2008, 98 patients had figure-of-8 suturing and 97 had interrupted sutures. The mean age of the patients was 60.9 ± 7.6 years. The overall sternal dehiscence rate was 8%; 7 cases in the in figure-of-8 group and 9 in the interrupted group. Thirteen patients had no wound infection and healed with conservative treatment. Only 3 patients had sternal dehiscence with infection: 2 with simple interrupted closure and 1 with figure-of-8 sternal closure. There was no significant difference in rates of sternal dehiscence between the 2 groups. It was concluded that figure-of-8 sternal suturing is equally effective as simple interrupted suturing in preventing sternal dehiscence.

Original languageEnglish
Pages (from-to)587-591
Number of pages5
JournalAsian Cardiovascular and Thoracic Annals
Volume17
Issue number6
DOIs
Publication statusPublished - Dec 2009

Fingerprint

Sternotomy
Wound Infection
Coronary Artery Bypass
Sutures
Thoracic Surgery
Incidence
Infection

Keywords

  • Bone Wires
  • Coronary Artery Bypass
  • Sternum
  • Surgical Wound Dehiscence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine
  • Medicine(all)

Cite this

Figure-of-eight vs. Interrupted sternal wire closure of median sternotomy. / Abdul Rahman, Mohd Ramzisham; Raflis, Awang Ruzairee; Khairulasri, Mohd Ghani; Su Min, Ooi Joanna; Fikri, Abdullah Mohd; Zamrin, Mohd Dimon.

In: Asian Cardiovascular and Thoracic Annals, Vol. 17, No. 6, 12.2009, p. 587-591.

Research output: Contribution to journalArticle

Abdul Rahman, Mohd Ramzisham ; Raflis, Awang Ruzairee ; Khairulasri, Mohd Ghani ; Su Min, Ooi Joanna ; Fikri, Abdullah Mohd ; Zamrin, Mohd Dimon. / Figure-of-eight vs. Interrupted sternal wire closure of median sternotomy. In: Asian Cardiovascular and Thoracic Annals. 2009 ; Vol. 17, No. 6. pp. 587-591.
@article{a00afec2753c485d89c56cc8456beb59,
title = "Figure-of-eight vs. Interrupted sternal wire closure of median sternotomy",
abstract = "Sternal dehiscence is a rare but devastating complication following median sternotomy for cardiac surgery. The optimal technique for sternal closure is unclear. We conducted this prospective randomized trial to compare the incidence of sternal dehiscence after figure-of-8 and simple interrupted suturing in patients undergoing coronary artery bypass grafting. Between January 2007 and June 2008, 98 patients had figure-of-8 suturing and 97 had interrupted sutures. The mean age of the patients was 60.9 ± 7.6 years. The overall sternal dehiscence rate was 8{\%}; 7 cases in the in figure-of-8 group and 9 in the interrupted group. Thirteen patients had no wound infection and healed with conservative treatment. Only 3 patients had sternal dehiscence with infection: 2 with simple interrupted closure and 1 with figure-of-8 sternal closure. There was no significant difference in rates of sternal dehiscence between the 2 groups. It was concluded that figure-of-8 sternal suturing is equally effective as simple interrupted suturing in preventing sternal dehiscence.",
keywords = "Bone Wires, Coronary Artery Bypass, Sternum, Surgical Wound Dehiscence",
author = "{Abdul Rahman}, {Mohd Ramzisham} and Raflis, {Awang Ruzairee} and Khairulasri, {Mohd Ghani} and {Su Min}, {Ooi Joanna} and Fikri, {Abdullah Mohd} and Zamrin, {Mohd Dimon}",
year = "2009",
month = "12",
doi = "10.1177/0218492309348948",
language = "English",
volume = "17",
pages = "587--591",
journal = "Asian Cardiovascular and Thoracic Annals",
issn = "0218-4923",
publisher = "SAGE Publications Inc.",
number = "6",

}

TY - JOUR

T1 - Figure-of-eight vs. Interrupted sternal wire closure of median sternotomy

AU - Abdul Rahman, Mohd Ramzisham

AU - Raflis, Awang Ruzairee

AU - Khairulasri, Mohd Ghani

AU - Su Min, Ooi Joanna

AU - Fikri, Abdullah Mohd

AU - Zamrin, Mohd Dimon

PY - 2009/12

Y1 - 2009/12

N2 - Sternal dehiscence is a rare but devastating complication following median sternotomy for cardiac surgery. The optimal technique for sternal closure is unclear. We conducted this prospective randomized trial to compare the incidence of sternal dehiscence after figure-of-8 and simple interrupted suturing in patients undergoing coronary artery bypass grafting. Between January 2007 and June 2008, 98 patients had figure-of-8 suturing and 97 had interrupted sutures. The mean age of the patients was 60.9 ± 7.6 years. The overall sternal dehiscence rate was 8%; 7 cases in the in figure-of-8 group and 9 in the interrupted group. Thirteen patients had no wound infection and healed with conservative treatment. Only 3 patients had sternal dehiscence with infection: 2 with simple interrupted closure and 1 with figure-of-8 sternal closure. There was no significant difference in rates of sternal dehiscence between the 2 groups. It was concluded that figure-of-8 sternal suturing is equally effective as simple interrupted suturing in preventing sternal dehiscence.

AB - Sternal dehiscence is a rare but devastating complication following median sternotomy for cardiac surgery. The optimal technique for sternal closure is unclear. We conducted this prospective randomized trial to compare the incidence of sternal dehiscence after figure-of-8 and simple interrupted suturing in patients undergoing coronary artery bypass grafting. Between January 2007 and June 2008, 98 patients had figure-of-8 suturing and 97 had interrupted sutures. The mean age of the patients was 60.9 ± 7.6 years. The overall sternal dehiscence rate was 8%; 7 cases in the in figure-of-8 group and 9 in the interrupted group. Thirteen patients had no wound infection and healed with conservative treatment. Only 3 patients had sternal dehiscence with infection: 2 with simple interrupted closure and 1 with figure-of-8 sternal closure. There was no significant difference in rates of sternal dehiscence between the 2 groups. It was concluded that figure-of-8 sternal suturing is equally effective as simple interrupted suturing in preventing sternal dehiscence.

KW - Bone Wires

KW - Coronary Artery Bypass

KW - Sternum

KW - Surgical Wound Dehiscence

UR - http://www.scopus.com/inward/record.url?scp=77449085399&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77449085399&partnerID=8YFLogxK

U2 - 10.1177/0218492309348948

DO - 10.1177/0218492309348948

M3 - Article

VL - 17

SP - 587

EP - 591

JO - Asian Cardiovascular and Thoracic Annals

JF - Asian Cardiovascular and Thoracic Annals

SN - 0218-4923

IS - 6

ER -