Sternal Closure With An Absorbable Loop Suture İn Children

Authors : HT KEÇELİGİL, F KOLBAKIR, , A SARAÇ, Z DEMİR, E İRİZ, M KÜSDÜL, İ DEMİR

Pages : 0-0

Doi:10.5835/jecm.v16i3.705

View : 41 | Download : 12

Publication Date : 2009-12-23

Article Type : Other Papers

Abstract :The reliability of polydioxanone insert ignore into journalissuearticles values(PDS); suture for sternal closure was tested on 264 consecutive sternotomies in our department from April 1987 to May 1998. The reason of sternotomy was tetralogy of Fallot in 65 cases insert ignore into journalissuearticles values(24.62%);, ventricular septal defect insert ignore into journalissuearticles values(VSD); in 38 cases insert ignore into journalissuearticles values(14. 39%);, atrial septal defect insert ignore into journalissuearticles values(ASD); in 77 cases insert ignore into journalissuearticles values(29.16%);, ASD+VSD in 23 insert ignore into journalissuearticles values(8.71%);, mitral valve replacement in 22 cases insert ignore into journalissuearticles values(8.33%);, aortic valve replacement in 10 cases insert ignore into journalissuearticles values(3.78%); and other cardiac disorders in 29 cases insert ignore into journalissuearticles values(10.98%);. Sternal wound infection, sternal dehiscence and mediastinitis occurred in 1.51% of patients insert ignore into journalissuearticles values(4/264);. The overall hospital mortality related to the mediastinitis was 1.13% insert ignore into journalissuearticles values(3/264); in the immediate postoperative period. This absorbable suture and our different technique are a safe alternative to standard sternotomy closure after pediatric cardiac surgery. Çocuklarda Sternumun Absorbable Loop Sütür ile Kapatılması Sternumun kapatılmasında, polydioxanone insert ignore into journalissuearticles values(PDS); sütür kullanımının uygunluğu, kliniğimizde Nisan 1987 ila Mayıs 1998 tarihleri arasındaki dönemde sternotomi uygulanan ardışık 264 hastada test edildi. Sternotomi uygulanan hastaların 65`i Fallot tet-ralojisi insert ignore into journalissuearticles values(%24.62);, 38`i ventriküler septal defekt insert ignore into journalissuearticles values(%14.39);, 77`si atrial septal defekt insert ignore into journalissuearticles values(%29.16);, 23`ü ASD+VSD insert ignore into journalissuearticles values(%8.71);, 22`si mitral kapak replasmanı insert ignore into journalissuearticles values(%8.36);, 10`u aort kapak replasmanı insert ignore into journalissuearticles values(%3.78);, 29`u çeşitli diğer kardiyak hastalıklar insert ignore into journalissuearticles values(%10.98); idi. Sternal yara infeksiyonu, sternal ayrışma ve mediastinite %1.51 oranında rastlandı insert ignore into journalissuearticles values(4/264);. Erken postoperatif dönemdeki mediastinite bağlı hastane mortalitesi %1.13 olarak saptandı insert ignore into journalissuearticles values(3/264);. Bu absorbe edilebilir sütür materyali ve kullandığımız farklı teknik, pe-diatrik kalb cerrahisinde standart sternotomi kapatılmasına güvenli bir alternatif olarak görünmektedir.
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