Journal of Clinical and Investigative Surgery
Radu Matache1,2, Mihai Dumitrescu2, Andrei Bobocea2, Ioan Cordoș1,2
1Carol Davila University, Department of Thoracic Surgery, Bucharest, Romania
2Marius Nasta Clinical Hospital, Department of Thoracic Surgery, Bucharest, Romania
Sternotomy is the gold standard incision for cardiac surgeons but it is also used in thoracic surgery especially for mediastinal, tracheal and main stem bronchus surgery.
The surgical technique is well established and identification of the correct anatomic landmarks, midline tissue preparation, osteotomy and bleeding control are important steps of the procedure.
Correct sternal closure is vital for avoiding short- and long-term morbidity and mortality. The two sternal halves have to be well approximated to facilitate healing of the bone and to avoid instability, which is a risk factor for wound infection.
New suture materials and techniques would be expected to be developed to further improve the patients evolution, in respect to both immediate postoperative period and long-term morbidity and mortality.