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Retrosternal Goiter: The Need for Median Sternotomy
World Journal of Surgery, 2006AbstractIntroductionThe aim of this study was to analyze the features of patients with goiter who underwent thyroidectomy via a cervical incision and a median sternotomy in Khartoum.MethodsA total of 267 thyroidectomies were performed in Khartoum Teaching Hospital during the period from January 2002 to December 2003.
Mohamed E. Ahmed +2 more
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The Management of Infected Median Sternotomy Wounds
Annals of Plastic Surgery, 1989Extensive experience with infected sternotomy wounds treated by aggressive debridement and immediate, laterally based pectoralis muscle flaps has shown this to be a reliable and effective treatment for a major complication previously associated with high morbidity and mortality.
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A radiologist's guide to median sternotomy
Clinical RadiologyMedian sternotomy is widely recognised as the primary incision technique in cardiac surgery. This surgical procedure involves dividing the sternum to gain access to the heart and lungs, making it invaluable in correcting congenital heart defects. Furthermore, it is frequently employed in adult patients, particularly during coronary artery bypass graft (
A, Young +5 more
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Repair of the Dehisced Median Sternotomy Incision
Surgical Clinics of North America, 1989Mediastinitis after open-heart surgery is a potentially disabling, even lethal, condition. The utilization of muscle flaps in treatment has lowered the mortality rate from 40 to 5 per cent and decreased the hospitalization time to 12 days. The authors recommend a single reverse turnover pectoralis major flap based on the internal mammary perforators as
Foad Nahai, Joseph I. Miller
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Again, Via the Median Sternotomy
Archives of Surgery, 1974As the essentially palliative nature of many kinds of heart surgery becomes more fully recognized, secondary open heart procedures are being performed with increasing frequency. Reoperations most commonly involve replacement of malfunctioning prosthetic valves or insertion of new prosthetic devices where previous valvuloplastic precedures have failed ...
Philip E. Oyer, Norman E. Shumway
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Median Sternotomy as an Approach for Pulmonary Surgery
The Thoracic and Cardiovascular Surgeon, 1988A median sternotomy incision was employed in 73 cases of pulmonary surgery instead of posterolateral thoracotomy. An anterior mediastinal approach was used in three groups of patients: group 1 patients (47 cases) underwent simultaneous bilateral surgery for pulmonary disorders on both sides, in group 2 patients (15 cases), this approach was selected to
Yoh Watanabe, T. Iwa, T. Ichihashi
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Rib fractures complicating median sternotomy
The Annals of Thoracic Surgery, 1991The postoperative chest radiographs of 100 consecutive patients undergoing median sternotomy were reviewed for the presence of acute rib fractures. The majority of patients underwent coronary artery bypass grafting. Thirteen patients sustained 15 fractures.
Roma V. Gumbs +3 more
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The Inframammary Incision for Median Sternotomy in Pediatrics
Journal of Cardiac Surgery, 1987Median sternotomy offers the ideal exposure for most cardiac and mediastinal procedures. One infrequently mentioned morbidity of the traditional median sternotomy is the unsightly scar, especially in pediatric and adolescent patients who are extremely sensitive about their body appearance.
Jeffrey M. Dunn, Michael L. Bentz
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Reconstruction of Infected Median Sternotomy Wounds
Archives of Surgery, 1987Infected median sternotomy represents a major complication of cardiac surgery, with significant morbidity and mortality. The treatment of choice is immediate drainage and closure over suction irrigation catheters. However, when this conservative approach fails or radical debridement makes primary closure impossible, muscle flap closure is indicated ...
M, Cohen +3 more
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Median Sternotomy for Implantable Cardioverter/Defibrillator
Archives of Surgery, 1989The automatic implantable cardioverter/defibrillator is an accepted mode of therapy for medically refractory sustained ventricular tachycardia or fibrillation. At the Loyola University Medical Center, Maywood, Ill, 39 implantations were performed in a 14-month period. The method of implantation was the median sternotomy.
David J. Wilber +2 more
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