Department of Cardiovascular Surgery, Maizuru Mutual Hospital, Maizuru, Kyoto, Japan.
Department of Cardiovascular Surgery, Maizuru Mutual Hospital, Maizuru, Kyoto, Japan.
Heart Lung Circ. 2021 Jun;30(6):e65-e67. doi: 10.1016/j.hlc.2020.10.013. Epub 2020 Dec 16.
After a median sternotomy, sternal instability can result in sternal infection. The usual sternal closure with stainless steel wires may result in sternal instability, especially in osteoporotic patients. An absorbable mesh (Super-FIXSORB-MX®40, Takiron Co Ltd, Osaka, Japan) for reinforcing the sternum has become commercially available. This paper reports a modified sternal closure procedure using this absorbable mesh in combination with heavy braided Polydiaxanon (PDS cord®, Ethicon, Inc., Somerville, NJ, USA) for osteoporotic patients.
正中劈开胸骨后，胸骨不稳可导致胸骨感染。通常使用不锈钢丝进行胸骨闭合可能导致胸骨不稳定，尤其是在骨质疏松症患者中。一种可吸收的网片（Super-FIXSORB-MX®40，日本大阪的 Takiron 株式会社）已可用于增强胸骨。本文报告了一种改良的胸骨闭合术，使用这种可吸收网片结合重编织的聚二氧六环酮（PDS 缝线，Ethicon，Inc.，新泽西州萨默维尔）用于骨质疏松症患者。
