Results 271 to 280 of about 1,278,507 (321)

Retrosternal Goiter: The Need for Median Sternotomy

World Journal of Surgery, 2006
AbstractIntroductionThe 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, Elnazeer O. Ahmed, Seif I. Mahadi   +2 more
openaire   +3 more sources

Repair of the Dehisced Median Sternotomy Incision

Surgical Clinics of North America, 1989
Mediastinitis 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
openaire   +3 more sources

The Inframammary Incision for Median Sternotomy in Pediatrics

Journal of Cardiac Surgery, 1987
Median 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
openaire   +3 more sources

Reconstruction of Infected Median Sternotomy Wounds

Archives of Surgery, 1987
Infected 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, N A, Silverman, D M, Goldfaden, S, Levitsky   +3 more
openaire   +3 more sources

Median Sternotomy as an Approach for Pulmonary Surgery

The Thoracic and Cardiovascular Surgeon, 1988
A 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
openaire   +3 more sources

Rib fractures complicating median sternotomy

The Annals of Thoracic Surgery, 1991
The 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, Hasan Nabhani, Reginald L. Peniston, Linwood J. Henry   +3 more
openaire   +3 more sources

Median Sternotomy for Implantable Cardioverter/Defibrillator

Archives of Surgery, 1989
The 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, Roque Pifarre, Bradford M. Blakeman   +2 more
openaire   +3 more sources

Biomechanical comparison of median sternotomy closures

The Annals of Thoracic Surgery, 2004
Poor healing of median sternotomy can significantly increase morbidity, mortality, and hospital costs. Effective union requires reliable sternal fixation. Although wire has proven the most reliable and widely used sternotomy closure material, no experimental studies have compared a large variety of wiring techniques in a human model.
H.E. Huff, Colette C. Wagner-Mann, Julian E. Losanoff, Fu hung Hsieh, James W. Jones, Andrea D Collier, Alberto A. Diaz-Arias, Bruce W. Richman   +7 more
openaire   +3 more sources

Delayed Closure of the Median Sternotomy Incision

The Annals of Thoracic Surgery, 1985
Attempts to close a median sternotomy incision in the patient with profound cardiac or pulmonary dysfunction following a cardiac surgical procedure can result in severe hemodynamic deterioration. Delayed sternal closure in this setting may be a lifesaving technique.
openaire   +3 more sources

Conventional Techniques: Median Sternotomy

2008
It is now well known and accepted that the thymus plays a central role in the pathogenesis of autoimmune nonthymomatous and thymomatous myasthenia gravis (MG) [1, 2, 3, 4, 5]. While in case of a thymoma oncological reasons make surgery mandatory and the sternotomy route is the golden standard, on the other hand the presence of a radiologically “normal”
Alfredo Mussi, Marco Lucchi
openaire   +2 more sources