Staged Delayed Sternal Closure Using a Binder Clip After Pediatric Cardiac Surgery.
After pediatric cardiac surgery, patients who undergo delayed sternal closure may become hemodynamically unstable. We performed a staged sternal closure technique using a binder clip in 31 consecutive patients to minimize cardiopulmonary instability. Only one patient (3.2%) died of mediastinitis. Thus, our technique may be safe and minimize cardiopulmonary instability. doi: 10.1111/jocs.12767 (J Card Surg 2016;31:464-466).
Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center and Children's Medical Center, Haebaru-cho, Okinawa, Japan.
Tai
T
Fuchigami
Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center and Children's Medical Center, Haebaru-cho, Okinawa, Japan.
Masahiko
M
Nishioka
Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center and Children's Medical Center, Haebaru-cho, Okinawa, Japan.
Toru
T
Akashige
Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center and Children's Medical Center, Haebaru-cho, Okinawa, Japan.
Shotaro
S
Higa
Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center and Children's Medical Center, Haebaru-cho, Okinawa, Japan.
Nobuhiro
N
Nagata
D006348:Cardiac Surgical Procedures / Q000295:instrumentation / Q000379:methods* / Q000401:mortality; D002675:Child, Preschool; D017052:Hospital Mortality; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012189:Retrospective Studies; D013249:Sternum / Q000601:surgery*; D015996:Survival Rate; D016896:Treatment Outcome; D058106:Wound Closure Techniques / Q000295:instrumentation