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Randomized Controlled Trial
. 2005 Oct;80(4):1537-9.
doi: 10.1016/j.athoracsur.2004.04.050.

Advanced sternal closure to prevent dehiscence in obese patients

Arndt-H Kiessling  1 , Frank Isgro, Udo Weisse, Andreas Möltner, Werner Saggau, Joachim Boldt
Affiliations
Randomized Controlled Trial

Advanced sternal closure to prevent dehiscence in obese patients

Arndt-H Kiessling et al. Ann Thorac Surg. 2005 Oct.

Abstract

Sternal dehiscence is a frequent complication after cardiac surgical procedures. The objective was to evaluate a novel method for advanced sternal closure compared with standard techniques for preventing sternal dehiscence. Our investigation comprised 100 patients with a body mass index above 32. Patients were randomly assigned to receive either advanced sternal closure with three stainless steel double wires or standard techniques with stainless steel single wires. The incidence of sternal refixation was 6 of 50 patients in the standard techniques group and 1 of 50 in the advanced sternal closure group during a follow-up period of 6 months.

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