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Ann Thorac Surg 1985;40:76-77
© 1985 The Society of Thoracic Surgeons

Articles

Delayed Closure of the Median Sternotomy Incision

Douglas A. Murphy, M.D.*

Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, GA

Accepted for publication August 27, 1984.

* Address reprint requests to Dr. Murphy, Emory Clinic, 1365 Clifton Rd, NE, Atlanta, GA 30322

Attempts to close a median sternotomy incision in the patient with profound cardiac or pulmonary dysfunction following a cardiac surgical procedure can result in severe hemodynamic deterioration. Delayed sternal closure in this setting may be a lifesaving technique. A method is described for delayed sternal closure that employs a temporary impermeable rubber patch sutured to the presternal fascia.




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