Sternal dehiscence after clamshell incision in lung transplantation treated with the STRAsbourg Thoracic Osteosyntheses System (STRATOS).
Clamshell incision with transverse sternotomy is the approach of choice for bilateral lung transplantation when cardiopulmonary bypass becomes necessary or to improve exposure. Sternal dehiscence is a well-known complication of this approach. This results in chronic thoracic pain and contributes to a delayed pulmonary rehabilitation. Sternal dehiscence can be treated with conservative therapy, but severe dehiscence requires secondary surgical closure. Several techniques of osteosynthesis have been reported with conflicting results. We describe the first use of the STRAsbourg Thoracic Osteosyntheses System (STRATOS) devices in three cases of secondary sternal closure without infection after bilateral lung transplantation.
Department of Thoracic Surgery, North Hospital, Aix-Marseille University, Marseille, France.
Bastien
B
Orsini
Department of Thoracic Surgery, North Hospital, Aix-Marseille University, Marseille, France. Electronic address: xavier.djourno@ap-hm.fr.
Xavier Benoit
XB
D'Journo
Department of Pulmonary Disease and Lung Transplantation, North Hospital, Aix-Marseille University, Marseille, France.
Martine
M
Reynaud-Gaubert
Department of Thoracic Surgery, North Hospital, Aix-Marseille University, Marseille, France.
Pascal Alexandre
PA
Thomas
D000328:Adult; D004867:Equipment Design; D005260:Female; D006801:Humans; D016040:Lung Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000295:instrumentation*; D013249:Sternum / Q000601:surgery*; D013529:Surgical Wound Dehiscence / Q000601:surgery*
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