title: Delayed closure of the median sternotomy incision.
abstract: 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.
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D009202:Cardiomyopathies / Q000209:etiology; D006801:Humans; D008297:Male; D019736:Prostheses and Implants; D012408:Rubber; D013249:Sternum / Q000601:surgery*; D013997:Time Factors
chemical_list: D012408:Rubber