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Corresponding Author

Ahmed Mahmoud Reda

Document Type

Original Article

Abstract

Background: Julian's colleagues were early proponents of median sternotomy for cardiac surgery in 1957. Subsequently, it has become the conventional methodology for numerous open-heart procedures.

Aim and objectives: To study the significance of simple trans sternal closure versus the figure of eight closures.

Patients and methods: This was a prospective randomized research study carried out on sixty individuals presented to Aswan Heart Centre scheduled open heart surgery. The participants were randomly categorized into two groups: Group I, Which Included 30 individuals who underwent figure-of-8 closure of the sternum, and Group II, which Included 30 individuals who underwent simple interrupted closure of the sternum. The study started in January 2023.

Results: There was no statistical significance among both groups concerning age, gender, height, BSA, risk factors, the number of smokers, the period of mechanical ventilation ( P = 0.815), the number of hospital stays of patients (P = 0.141), and the number of patients who had inotropic support (P = 0.766). The mean maximum pain of patients in the figure-of-8 closure group was 36.60±6.34, while in the simple interrupted closure group, it was 41.67±5.24, which was statistically significant.

Conclusion: The figure of eight sternal closures is equally effective and comparable to simple interrupted wiring in preventing complications such as sternal dehiscence and sternal wound infection following open heart surgery. Sternal closure's stability promotes the prevention of complications.

Keywords

Simple Trans Sternal Closure; Figure of Eight Closure of The Sternum; Open Heart Surgery

Subject Area

Thoracic and cardiovascular surgery

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