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Asian Cardiovasc Thorac Ann · Jul 2014
Case ReportsA novel modified Robicsek technique for sternal closure: "Double-check".
- Gokhan Lafci, Emre Yasar, Omer Faruk Cicek, Ahmet Irdem, Alper Uzun, and Adnan Yalcinkaya.
- Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey.
- Asian Cardiovasc Thorac Ann. 2014 Jul 1; 22 (6): 758-60.
AbstractA median sternotomy is the most common approach for cardiac and great vessel surgery. After a median sternotomy, healing complications such as instability, nonunion, and infection, are rare but devastating. Predisposing factors for sternal complications are old age, diabetes, steroid treatment, postmenopause state, obesity, reoperation, and the use of bilateral internal mammary arteries. Patients with sternal dehiscence frequently require reoperation to maintain optimum sternal stability. The technique chosen for sternal closure must provide excellent sternal approximation. We describe a modified Robicsek procedure reinforced with figure-of-8 sternal wires. We named this technique "double-check". © The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.
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