Use of a cast spreader during reoperative sternotomy.
We report a modified use for an old tool: separation of the sternal edges during repeat sternotomy with a cast spreader. We have found that this technique improves our exposure, causes no trauma to bone, and minimizes the risk of damage to underlying mediastinal structures.
Rhee
J W
JW
Cardiovascular and Thoracic Surgical Associates, Arlington Hospital, Virginia, USA.
Garrett
J R
JR
D001864:Bone Wires; D062109:Dermatologic Surgical Procedures; D006801:Humans; D012086:Reoperation; D013249:Sternum / Q000601:surgery*; D013314:Stress, Mechanical; D013908:Thoracotomy / Q000295:instrumentation*; D014143:Traction / Q000295:instrumentation*