Cardiopulmonary bypass line sternal wrapping for protection and haemostasis.
Sternal marrow haemostasis is often obtained with the application of bone wax, with potential side effects pertaining to sternal wound healing. We illustrate an alternative technique which also offers some protection to sternal edges. Two lengths of tubing from the discarded cardiopulmonary bypass (CPB) circuit are cut longitudinally on one side. After sternotomy they are placed across each sternal edge and kept in position by two stitches and the spreader blades. They are removed just before sternal closure.
Division of Cardiac Surgery, Ospedali Riuniti, Ancona, Italy.
Carlo
C
Aratari
Alexander
A
Manché
Luca
L
Ferretti
Marcella
M
Fusella
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation; D002315:Cardiopulmonary Bypass / Q000295:instrumentation; D004209:Disposable Equipment; D004867:Equipment Design; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008480:Mediastinitis / Q000209:etiology / Q000517:prevention & control; D011143:Polyvinyl Chloride; D013249:Sternum / Q000601:surgery*; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000517:prevention & control; D013530:Surgical Wound Infection / Q000209:etiology / Q000517:prevention & control; D013536:Suture Techniques
D011143:Polyvinyl Chloride