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Experience using a flexible reinforced fiber suture for sternal closure in bilateral lung transplantation recipients undergoing bilateral transverse thoracosternotomy

Year: 2022

Type: article

Abstract: Bilateral transverse thoracosternotomy for sequential bilateral lung transplantation (BLTx) offers improved exposure of the hilum, mediastinum, and pleural spaces, but sternal complications are a common consequence of this approach. Complications such as dehiscence, sternal instability, infection, and chronic pain can require operative intervention. Common risk factors for sternal complications in transplant recipients include immunosuppression, malnutrition, and chronic corticosteroid use. Several techniques using stainless-steel wires have been promoted to reduce the risk of sternal complications,1,2 and sternal plating has also been recommended in high-risk or redo situations.

Source: JTCVS Techniques

DOI: 10.1016/j.xjtc.2022.05.006

Authors: Jenalee N. Coster, Ernest G. Chan, Masashi Furukawa, Pablo G. Sanchez

Institution: University of Pittsburgh Medical Center

Language: English

Topic: Transplantation: Methods and Outcomes

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,205