Tabuchi Masaki, Yamauchi Akihiko, Iha Kouji, Shimabukuro Nobuhiro, Narayama Kouhei, Kikuchi Keita, Yoshida Kazunori, Nakano Yoshihisa, Hatada Atsutoshi, Hayashi Chikako
Department of Cardiovascular Surgery, Nishinomiya Watanabe Cardiovascular Center, Nishinomiya, Japan.
Kyobu Geka. 2020 Dec;73(13):1055-1060.
While minimally invasive cardiac surgery (MICS) has become increasingly popular recently even in the field of cardiovascular surgery, the conventional full median sternotomy is still the main approach to the mediastinum, especially for cases which cannot be applied for MICS or in the facilities where MICS is not performed. It has been known that sternal instability is one of the leading causes of sternal infection after median sternotomy. Therefore, we have sought for an additional product to secure strong sternal stability. Since August in 2018, we used a new type of corrugated plate( Super Fixsorb Wave) which is placed inside the sternum in addition to regular sternal wires for 140 patients who had full median sternotomy. Up to now, we have no complications regarding sternotomy including mediastinitis. We believe that additional use of Super Fixsorb Wave enables firm sternal stability and prevents mediastinitis following full median sternotomy.
尽管近年来微创心脏手术（MICS）甚至在心血管外科领域越来越受欢迎，但传统的全胸骨正中切开术仍然是进入纵隔的主要方法，特别是对于那些无法应用MICS的病例或未开展MICS的医疗机构。众所周知，胸骨不稳定是胸骨正中切开术后胸骨感染的主要原因之一。因此，我们一直在寻找一种额外的产品来确保强大的胸骨稳定性。自2018年8月以来，我们对140例行全胸骨正中切开术的患者，除了常规的胸骨钢丝外，还在胸骨内放置了一种新型波纹板（Super Fixsorb Wave）。到目前为止，我们没有出现包括纵隔炎在内的胸骨切开术相关并发症。我们相信，额外使用Super Fixsorb Wave可实现牢固的胸骨稳定性，并预防全胸骨正中切开术后的纵隔炎。
