“Sternotomy” and the Factors Affecting Its Prognosis
DOI:
https://doi.org/10.37628/ijcn.v2i2.77Abstract
Cardiac surgeries predominantly require median sternotomy, as it is a useful incision, which is required to be done, for different operations. This incision is useful in performing thoracic operations as it also allows access to both pleural spaces. Patients and medical variables increase the rate of infection of this surgical wound. Complication of sternal wound infection and durability of chest pain associated to sternotomy is lasting more than 1 year in the patient. However, the medical factors involving ministernotomy, hospital stay, use of steroids, and sternotomy wound closure technique are the factors contributing to early wound healing and less complications, but the better understanding of surgical wound management and precaution to reduce sternal pressure following postoperative period can help to reduce the rate of complication.References
Chikwe J., Beddow E., Glenville B. Cardiothoracic Surgery. Oxford: Oxford University Press; 2006.
Joshi G.P., Girish P., Ogunnaike B.O., et al. Concequences of inadequate postoperative pain relief and chronic persistent postoperative pain. Anesthesiology. 2005; 23: 21–6p.
van Gulik L., Janssen L.I., Ahlers S.J., et al. Risk factors for chronic thoracic pain after cardiac surgery via sternotomy. Eur J Cardiothor Surg. 2011; 40(6); 1309–13p.
Mailis A., Chan J., Basinski A., et al. Chest wall pain after aortocoronary bypass surgery using internal mammary artery graft: a new pain syndrome? Heart Lung. 1989; 18: 553–8p.
The burden of cardiovascular disease in the Indian subcontinent. Indian J Med Res. 2006; 235–44p. 6. Farhat F., Metton O., Jegaden O. Benefits and complications of total sternotomy and ministernotomy in cardiac surgery. Surg Technol Int. 2004; 13: 199–205p.
Yorke J. Marianne G.D. “Patients’ perceptions of pain management after Cardiac surgery in an Australian critical care unit.” Heart Lung J. 2004; 33(1).
Tuyl L.J., Mackney J.H., Johnston C.L., Management of sternal precautions following median sternotomy by physical therapists in Australia: a web-based survey. Phys Ther. 2012; 92(1), 83–97p.
