Szerafin T, Osama J, Gyóry F, Péterffy A
Debreceni Egyetem Orvos- és Egészségtudományi Centrum, Szívsebészeti Klinika, 4004 Debrecen, Móricz Zsigmond krt. 6.
Magy Seb. 2001 Dec;54(6):375-8.
Median sternotomy is still the most commonly used approach in cardiac surgery. Closure of the sternal halves is usually performed with stainless wires. Usually this method proves efficient to achieve proper sternal stability without postoperative wound complications. On the other hand in a small number of patients this simple method is not efficient to resist the great spreading forces on the sternal halves leading to sternal instability and other serious complications. We describe successful application of a newly introduced device, the Ley-prosthesis, which may be a very useful treatment for postoperative sternal dehiscence even in complicated cases.
正中胸骨切开术仍是心脏手术中最常用的方法。胸骨两半的闭合通常用不锈钢丝进行。通常这种方法被证明能有效地实现适当的胸骨稳定性，且无术后伤口并发症。另一方面，在少数患者中，这种简单方法不足以抵抗胸骨两半上巨大的撑开力，导致胸骨不稳定和其他严重并发症。我们描述了一种新引入的装置——Ley假体的成功应用，即使在复杂病例中，它对于术后胸骨裂开可能也是一种非常有用的治疗方法。
