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Straight versus S-shaped sternotomy: a histologic study in the sheep model

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dc.contributor.authorKÜÇÜKDURMAZ, FATİH
dc.contributor.institutionauthorİNAN, BEKİR
dc.contributor.institutionauthorKÜÇÜKDURMAZ, FATİH
dc.date.accessioned2019-10-05T22:17:32Z
dc.date.available2019-10-05T22:17:32Z
dc.date.issued2014-10-01
dc.description.abstractIntroduction: Straight sternotomy is the most common access for open heart surgery. Techniques have been proposed for maximizing sternal stability in high-risk patients. This trend implies a growing need for newer surgical techniques. The aim of this experimental study in the sheep model is to evaluate median vs. S shaped sternotomy the feasibility of using a special device to accelerate the sternal instability and bone healing. Materials and methods: We enrolled 31 sheep, weighing 18–30 kg. For all animals a midline skin incision was made. In group I (n = 16 animals), straight median sternotomy and in group II (n = 15 animals), S-shaped incision was marked on the periosteum of the sternum by new created device for standard S-shaped sternotomy. Sternum biopsies were performed on second surgery month for all survived animals from the sternum and the surrounding soft tissue. Results: No early superficial wound complications were observed. Overall mortality in the initial approach group was 19.3% (6 sheep). In group I; 3 sheep had died on first surgery day, the reason may be hemorrhage and in group II; 3 sheep developed intractable VF during surgery procedure or immediately afterwards so died. There were statistically significant differences in the scores of bone healing between group 1 and group 2 (4.2 vs.7.3, ANOVA, p < 0.001). Discussion: Our work is based on the use of a standard S-shaped sternotomy procedure on sheep sternum. In our experience with the sternal healing in the sheep model, the process of new bone formation was accelerated with S- shaped cut than straight sternotomy procedureen
dc.description.sponsorshipTürkiye Bilimsel Ve Teknolojik Araştırma Kurumu ( Tübitak )
dc.identifier
dc.identifier.citationKÜÇÜKDURMAZ F., -Straight versus S-shaped sternotomy: a histologic study in the sheep model-, JOURNAL OF CARDIOVASCULAR SURGERY, cilt.30, ss.173-175, 2014
dc.identifier.pubmed25359502
dc.identifier.urihttps://hdl.handle.net/20.500.12645/9317
dc.language.isoen
dc.rightsinfo:eu-repo/semantics/openAccessen
dc.titleStraight versus S-shaped sternotomy: a histologic study in the sheep model
dc.typeArticle
dspace.entity.typePublication
local.article.journalnameSmyrna Medical Journal
local.avesis.ide7cc4673-90d8-488c-9b0d-e655c78e737e
local.avesis.response9193
relation.isAuthorOfPublication411e3c50-5733-45c1-aaa1-15f6e9525f2c
relation.isAuthorOfPublication5545e8b7-75a3-4fee-b2ed-53db0a437463
relation.isAuthorOfPublication.latestForDiscovery5545e8b7-75a3-4fee-b2ed-53db0a437463
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