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Ann Thorac Surg 1998;66:2125-2126
© 1998 The Society of Thoracic Surgeons

How To Do It

Reduction of wound healing problems after median sternotomy by use of retention sutures

Peter Lamm, MDa, Oliver L. Gödje, MDa, Thomas Lange, MDa, Bruno Reichart, MDa

a Department of Cardiac Surgery, University Hospital Grosshadern, Ludwig-Maximilians-University, Munich, Germany

Accepted for publication June 29, 1998.

Address reprint requests to Dr Gödje, Department of Cardiac Surgery, University Hospital Grosshadern, Ludwig-Maximilians-University, 81377 Munich, Germany
e-mail: (doc.olli{at}lrz.uni-muenchen.de)

Obese people have a higher risk of sternal wound dehiscence resulting from traction of suprasternal tissue. In such patients we recommend the use of retention sutures with extracorporeal plates to improve tissue connection and to disburden fascia and skin sutures. This augmented closure is simple and effective and, since 1996, has prevented wound healing problems in more than 50 patients with a body mass index greater than 27.




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