Reoperative median sternotomy using a cast spreader.
Repeat median sternotomy carries a high mortality rate secondary to a higher incidence of injury to the underlying vital structures. The reported incidence of reentry accidents may be as high as 6% to 10%. We describe a new technique of redo sternotomy using a nitrogen-powered oscillating saw and a cast spreader. The new technique was used for 89 consecutive cases without any incidence of injury to the underlying structures. The use of a case spreader during repeat median sternotomy may enhance the safety of reentry.
Kulshrestha
P
P
Department of Surgery, Baystate Medical Center, Springfield, Massachusetts 01199, USA.
Garb
J L
JL
Rousou
J A
JA
Engelman
R M
RM
Wait
R B
RB
D006801:Humans; D012086:Reoperation; D013249:Sternum / Q000601:surgery*; D019616:Thoracic Surgical Procedures / Q000295:instrumentation*