Surgical considerations in patients undergoing repeat median sternotomy

Q. Macmanus, J. E. Okies, S. J. Phillips, Albert Starr

Research output: Contribution to journalArticle

52 Citations (Scopus)

Abstract

A retrospective review of 122 repeat median sternotomy incisions in 100 consecutive patients was made to evaluate complications and management. Eighty one patients had one repeat sternotomy, 16 had two repeat sternotomies and 3 had three repeat sternotomies. All had valve procedures in the past and were reoperated upon for progressive rheumatic valvular disease or for complications related to the prostheses. Complications included operative hemorrhage in 8 patients, postoperative hemorrhage in 2, seroma in 4 and dehiscence, wound infection and hematoma in 1 patient each. The most serious complication was hemorrhage and was the cause of the only operative death. Seven other patients survived hemorrhage encountered during repeat sternotomy. Control of massive hemorrhage during repeat sternotomy has been possible due to an organized approach to the patient with adhesions from previous surgery.

Original languageEnglish (US)
Pages (from-to)138-143
Number of pages6
JournalJournal of Thoracic and Cardiovascular Surgery
Volume69
Issue number1
StatePublished - 1975
Externally publishedYes

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Sternotomy
Hemorrhage
Seroma
Postoperative Hemorrhage
Wound Infection
Rheumatic Diseases
Hematoma
Prostheses and Implants

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Macmanus, Q., Okies, J. E., Phillips, S. J., & Starr, A. (1975). Surgical considerations in patients undergoing repeat median sternotomy. Journal of Thoracic and Cardiovascular Surgery, 69(1), 138-143.

Surgical considerations in patients undergoing repeat median sternotomy. / Macmanus, Q.; Okies, J. E.; Phillips, S. J.; Starr, Albert.

In: Journal of Thoracic and Cardiovascular Surgery, Vol. 69, No. 1, 1975, p. 138-143.

Research output: Contribution to journalArticle

Macmanus, Q, Okies, JE, Phillips, SJ & Starr, A 1975, 'Surgical considerations in patients undergoing repeat median sternotomy', Journal of Thoracic and Cardiovascular Surgery, vol. 69, no. 1, pp. 138-143.
Macmanus, Q. ; Okies, J. E. ; Phillips, S. J. ; Starr, Albert. / Surgical considerations in patients undergoing repeat median sternotomy. In: Journal of Thoracic and Cardiovascular Surgery. 1975 ; Vol. 69, No. 1. pp. 138-143.
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