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ORIGINAL ARTICLE

Figure-of-Eight vs. Interrupted Sternal Wire Closure of Median Sternotomy

Abdul-Rahman Mohd Ramzisham, MS, Awang Ruzairee Raflis, MBChB, Mohd Ghani Khairulasri, MD, Joanna Ooi Su Min, MMed1, Abdullah Mohd Fikri, FRCS, Mohd Dimon Zamrin, MS

Division of Cardiothoracic Surgery
1 Division of Cardiothoracic Anaesthesia, Heart and Lung Centre, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia

Abdul-Rahman Mohd Ramzisham, MS, Tel: +60 3 91456201, Fax: +60 3 91737831, Email: cardsurg2008{at}gmail.com, Division of Cardiothoracic Surgery, Department of Surgery, Heart and Lung Centre, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.

ABSTRACT

Sternal dehiscence is a rare but devastating complication following median sternotomy for cardiac surgery. The optimal technique for sternal closure is unclear. We conducted this prospective randomized trial to compare the incidence of sternal dehiscence after figure-of-8 and simple interrupted suturing in patients undergoing coronary artery bypass grafting. Between January 2007 and June 2008, 98 patients had figure-of-8 suturing and 97 had interrupted sutures. The mean age of the patients was 60.9 ± 7.6 years. The overall sternal dehiscence rate was 8%; 7 cases in the in figure-of-8 group and 9 in the interrupted group. Thirteen patients had no wound infection and healed with conservative treatment. Only 3 patients had sternal dehiscence with infection: 2 with simple interrupted closure and 1 with figure-of-8 sternal closure. There was no significant difference in rates of sternal dehiscence between the 2 groups. It was concluded that figure-of-8 sternal suturing is equally effective as simple interrupted suturing in preventing sternal dehiscence.

Key Words: Bone Wires • Coronary Artery Bypass • Sternum • Surgical Wound Dehiscence

Asian Cardiovasc Thorac Ann 2009; 17:587-591
© 2009 by SAGE Publications
DOI: 10.1177/0218492309348948




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