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Finger Lifting Resternotomy Technique / 日本心臓血管外科学会雑誌
Article in Ja | WPRIM | ID: wpr-362110
Responsible library: WPRO
ABSTRACT
We describe a novel method for repeat median sternotomy. We have successfully used ‘fingerlifting resternotomy technique and achieved zero major cardiovascular injury/catastrophic hemorrhage events at reoperation. After general anesthesia, all patients were placed in the supine position and two external defibrillator pads were placed on the chest wall. We perform a median skin and subcutaneous incision along the previous sternotomy incision extending 3 cm distal to the sternum. The sternal wires that had been used for the previous closure were left in place but untied. Using a long electric cautery, right thoracotomy was performed under the right costal arch approach. Then, the operator could approximate the sternal wires in the retro-sternal space. At the same time, the operator could confirm the retro-sternal adhesion status which by touching with a finger. Resternotomy was performed using an oscillating saw pointed toward the operator's finger, which allowed safe re-median sternotomy from the lower to the upper part of the sternum. This technique of finger-lifting resternotomy has been employed in 50 cardiovascular reoperations and resulted in 0 incident of major cardiac injury or catastrophic hemorrhage. The finger-lifting resternotomy technique is safe and simple in reoperation procedures and yield excellent early outcomes.
Key words
Full text: 1 Index: WPRIM Language: Ja Journal: Japanese Journal of Cardiovascular Surgery Year: 2011 Type: Article
Full text: 1 Index: WPRIM Language: Ja Journal: Japanese Journal of Cardiovascular Surgery Year: 2011 Type: Article