The Thoracic and Cardiovascular Surgeon, Inhaltsverzeichnis Thorac Cardiovasc Surg 2002; 50(2): 117-119DOI: 10.1055/s-2002-26694 How to do it © Georg Thieme Verlag Stuttgart · New York Description of a Reusable Device for the Temporary Stenting of the Open Sternum H. Kusber, M. Chares, M.-J. Polonius 1Klinik für Herz-, Thorax- und Gefäßchirurgie des Klinikum Dortmund gGmbH, Germany Artikel empfehlen Abstract Artikel einzeln kaufen Alle Artikel dieser Rubrik Abstract Background: Myocardial oedema, non-surgical bleeding and the use of mechanical assist devices following major heart surgery sometimes prevent primary closure of the sternum. Method: We describe a reusable sterile device for temporarily stenting the open sternum for safety. Results: The sternal stent was used in 32 patients for a mean time of 2 days. We observed no mediastinitis and no wound-healing disorders. A secondary closure of the sternum was performed in 28 patients. Conclusion: We present a device for sternal stenting that is reusable, easy to apply and allows a good handling of the criticaly ill patient due to its extreme stability. Key words Open sternum - Reusable stenting device - Cardiac operation Volltext Referenzen References 1 Ganghar D M, McCough E C, Synhost D. Secondary sternal closure: a method of preventing cardiac compression. Ann Thorac Surg. 1981; 31 281-282 2 Ganeshakrishnan K, Thyagarajan M D, Cobaoglu A. Temporary stenting of the sternum after difficult cardiac operations. Ann Thorac Surg. 1997; 64 1504-1505 3 Gielchinsky I, Parsonnet V, Krishnan B, Silidker M, Abel R. Delayed sternal closure following open-heart operation. Ann Thorac Surg. 1981; 32 273-277 4 Jones S D, Fullerton D A, Campbell D N, Jaggers J, Brown J M, Smith R, Grover F L. Technique to stent the open sttrnum after cardiac operations. Ann Thorac Surg. 1994; 58 1186-1187 5 Pytlik K, Manus H, Herwig V, Knorig J, Hetzer R. Delayed thorax closure after open heart surgery under primary application of a closed retrosternal irrigation to the reduction of the risk of mediastinitis. 30. Jahrestagung der deutschen Gesellschaft für Thorax-, Herz- und Gefäßchirurgie. Leipzig; Deutsche Gesellschaft für Thorax-, Herz- und Gefäßchirurgie 2001 6 Satoh H, Sakai K, Koyama M, Matsuda H. Spool-like stent for the open sternum after cardiac operations. Ann Thorac Surg. 1997; 63 572-574 Hubert Kusber Beurhausstraße 40 44137 Dortmund Germany Telefon: + 49-231-5020-990 Fax: + 49-231-5021-038 eMail: a.chares@t-online.de, Kusber@t-online.de