Jinno T, Yamane M, Tago M, Nakagawa J
Department of Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Japan.
Kyobu Geka. 1997 Nov;50(12):1009-12.
Median sternotomy is the standard incision for surgery of the heart and great vessels. But patients who undergo median sternotomy continue to suffer morbidity and death from sternal wound complications. Recently we have experienced 4 cases of patients with postoperative sternal dehiscence following median sternotomy. We have used a technique of sternal approximation that is a modification of the technique described by Robicsek and associates. We believe this technique should not be used routinely but seems to be useful in the stabilization of complicated sternal dehiscence especially in the presence of multiple cutting through the sternum. The described technique is easy to perform, and its advantage is that it provides good stability in perioperative respiratory management of patient with sternal dehiscence following median sternotomy.
正中胸骨切开术是心脏和大血管手术的标准切口。但接受正中胸骨切开术的患者仍会因胸骨伤口并发症而出现发病和死亡情况。最近，我们遇到了4例正中胸骨切开术后胸骨裂开的患者。我们采用了一种胸骨靠拢技术，该技术是对Robicsek及其同事所描述技术的改良。我们认为，这种技术不应常规使用，但似乎对复杂胸骨裂开的稳定有用，尤其是在胸骨多处切开的情况下。所描述的技术操作简便，其优点是在正中胸骨切开术后胸骨裂开患者的围手术期呼吸管理中能提供良好的稳定性。
