Direct-vision retrosternal dissection using the Kent retractor for sternal re-entry.
Repeat median sternotomy is still associated with high morbidity and mortality from catastrophic hemorrhage or myocardial injury. To overcome these problems, we devised a new technique of sternal re-entry using the Kent retractor set (Takasago Ika Kogyo, Tokyo, Japan), which increases the safety of retrosternal dissection and sternal redivision.
Kuwaki
Kenji
K
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, S1, W16, Chuo-ku, Sapporo 060-8543, Japan.
Tsukamoto
Masaru
M
Komatsu
Kanshi
K
Sakata
Junichi
J
Muraki
Satoshi
S
Abe
Tomio
T
D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control*; D013249:Sternum / Q000601:surgery*; D013525:Surgical Instruments