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Ann Thorac Surg 2005;80:1537-1539
© 2005 The Society of Thoracic Surgeons
a Department of Cardiac Surgery, Klinikum Ludwigshafen, Ludwigshafen, Germany
b Department of Anaesthesia and Operative Intensive Care Medicine, Klinikum Ludwigshafen, Ludwigshafen, Germany
Accepted for publication April 14, 2004.
* Address reprint requests to Dr Kiessling, Klinikum Ludwigshafen, Heart Institute Ludwigshafen, Bremserstrasse 73, D-67063 Ludwigshafen, Germany (Email: kiesslia{at}klilu.de).
Sternal dehiscence is a frequent complication after cardiac surgical procedures. The objective was to evaluate a novel method for advanced sternal closure compared with standard techniques for preventing sternal dehiscence. Our investigation comprised 100 patients with a body mass index above 32. Patients were randomly assigned to receive either advanced sternal closure with three stainless steel double wires or standard techniques with stainless steel single wires. The incidence of sternal refixation was 6 of 50 patients in the standard techniques group and 1 of 50 in the advanced sternal closure group during a follow-up period of 6 months.
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