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Two Easy Ways to Ensure Safe Sternotomy and Sternal Closure

Cardiac Surgery Unit, Civic Hospital, Brescia, Italy

For reprint information contact: Giuseppe De Cicco, MD, Tel: 39 030 399 5636, Fax: 39 030 399 5004, Email: giudeci{at}libero.it, U.O. di Cardiochirurgia, Spedali Civili di Brescia, Piazzale Spedali Civili, 1-25125 Brescia, Italy.

Appropriate sternotomy and sternal closure are the most important factors in mechanical stability of the sternum and prevention of several postoperative complications. Easy techniques for identifying the sternal midline to facilitate opening and for obtaining reinforced closure are described. These techniques require minimal additional time. They are particularly indicated in patients at risk of sternotomy-related complications, and helpful to young surgeons in training.