Feasibility of primary sternal plating for morbidly obese patients after cardiac surgery View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-12

AUTHORS

Joshua M. Liao, Patrick Chan, Lorraine Cornwell, Peter I. Tsai, Joseph H. Joo, Faisal G. Bakaeen, James D. Luketich, Danny Chu

ABSTRACT

BACKGROUND: Morbidly obese patients (body mass index [BMI] ≥ 35 kg/m2) who undergo cardiac surgery involving median sternotomy have a higher-than-normal risk of sternal dehiscence. To explore a potential solution to this problem, we examined the utility of transverse sternal plating for primary sternal closure in morbidly obese cardiac surgical patients. METHODS: We retrospectively reviewed data from cardiac surgical patients who underwent single primary xiphoid transverse titanium plate reinforcement for primary sternal closure from August 2009 to July 2010 (n = 8), and we compared their outcomes with those of patients with BMI ≥35 kg/m2 who underwent cardiac surgery without sternal plate reinforcement from April 2008 to July 2009 (n = 14). All cases were performed by the same surgeon. RESULTS: The 2 groups of patients had similar demographics and comorbidities (P > 0.05 for all). All patients with sternal plate reinforcement reported sternal stability at last follow-up (at a median of 27 months postoperatively; range, 8.4-49.3 months), whereas 1 patient (7.1%) who underwent standard closure developed sterile sternal dehiscence (P = 0.4). Postoperative patient-controlled analgesia (PCA) morphine usage was significantly higher for patients without sternal plate reinforcement than for patients who had sternal plate reinforcement (3.6 mg/h vs 1.3 mg/h, P = 0.008). No patient in the sternal plate group had wound seroma or perioperative complications attributable to sternal closure technique. CONCLUSION: Single xiphoid transverse plate reinforcement for primary sternal closure is a feasible option for morbidly obese patients, who are otherwise at high risk of developing sternal dehiscence. Using this technique may decrease postoperative narcotics usage. Morbidly obese patients (body mass index ≥35 kg/m2) have a higher-than-normal risk of sternal dehiscence after cardiac surgery. In a pilot study, we found that those who underwent transverse sternal plating (n = 8) had no sternal dehiscence and required less postoperative analgesia than patients who underwent standard wire closure (n = 14). More... »

PAGES

25

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s13019-019-0841-y

DOI

http://dx.doi.org/10.1186/s13019-019-0841-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1111755359

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30691502


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Body Mass Index", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Bone Plates", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Cardiac Surgical Procedures", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Mediastinitis", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Middle Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Obesity, Morbid", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Pilot Projects", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Retrospective Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Sternotomy", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Sternum", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Surgical Wound Dehiscence", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Wound Closure Techniques", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "University of Washington", 
          "id": "https://www.grid.ac/institutes/grid.34477.33", 
          "name": [
            "Department of Medicine, University of Washington, Seattle, WA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Liao", 
        "givenName": "Joshua M.", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Pittsburgh", 
          "id": "https://www.grid.ac/institutes/grid.21925.3d", 
          "name": [
            "Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Chan", 
        "givenName": "Patrick", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Michael E. DeBakey VA Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.413890.7", 
          "name": [
            "Department of Surgery, University of Hawaii, Honolulu, HI, USA", 
            "Division of Cardiothoracic Surgery, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Cornwell", 
        "givenName": "Lorraine", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Hawaii at Manoa", 
          "id": "https://www.grid.ac/institutes/grid.410445.0", 
          "name": [
            "Department of Surgery, University of Hawaii, Honolulu, HI, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Tsai", 
        "givenName": "Peter I.", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Texas A&M University", 
          "id": "https://www.grid.ac/institutes/grid.264756.4", 
          "name": [
            "College of Medicine, Texas A&M University, Bryan, TX, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Joo", 
        "givenName": "Joseph H.", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Cleveland Clinic", 
          "id": "https://www.grid.ac/institutes/grid.239578.2", 
          "name": [
            "Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Bakaeen", 
        "givenName": "Faisal G.", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Pittsburgh", 
          "id": "https://www.grid.ac/institutes/grid.21925.3d", 
          "name": [
            "Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Luketich", 
        "givenName": "James D.", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Pittsburgh Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.412689.0", 
          "name": [
            "Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA", 
            "University of Pittsburgh Medical Center Heart & Vascular Institute, 200 Lothrop Street, C-700, 15213, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Chu", 
        "givenName": "Danny", 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1016/j.athoracsur.2006.04.058", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1000083721"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0003-4975(02)04988-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001625085"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.298.17.2028", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1002128587"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.athoracsur.2004.03.038", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005395346"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1749-8090-4-19", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007581515", 
          "https://doi.org/10.1186/1749-8090-4-19"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0022-5223(99)70251-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008225343"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(06)69251-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008263569"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1056/nejmoa055643", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010723462"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.neulet.2007.08.055", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013145823"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.ejcts.2004.04.038", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017823993"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1161/circulationaha.106.171016", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019444886"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0003-4975(03)01468-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021534362"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.athoracsur.2005.03.089", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025172110"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0003-4975(01)03389-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032045725"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.athoracsur.2007.05.023", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035382604"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.ejcts.2008.03.030", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037278338"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1510/icvts.2009.214023", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037800416"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.neuroscience.2011.01.039", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039218209"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-200110000-00006", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042384453"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-200110000-00006", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042384453"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0967-2109(01)00128-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042872401"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jtcvs.2006.04.037", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051066572"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0003-4975(98)00231-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052372041"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jtcvs.2008.03.051", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052822761"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s1010-7940(02)00124-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1054669792"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s1569-9293(03)00259-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1054720431"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2019-12", 
    "datePublishedReg": "2019-12-01", 
    "description": "BACKGROUND: Morbidly obese patients (body mass index [BMI]\u2009\u2265\u200935\u2009kg/m2) who undergo cardiac surgery involving median sternotomy have a higher-than-normal risk of sternal dehiscence. To explore a potential solution to this problem, we examined the utility of transverse sternal plating for primary sternal closure in morbidly obese cardiac surgical patients.\nMETHODS: We retrospectively reviewed data from cardiac surgical patients who underwent single primary xiphoid transverse titanium plate reinforcement for primary sternal closure from August 2009 to July 2010 (n\u2009=\u20098), and we compared their outcomes with those of patients with BMI \u226535\u2009kg/m2 who underwent cardiac surgery without sternal plate reinforcement from April 2008 to July 2009 (n\u2009=\u200914). All cases were performed by the same surgeon.\nRESULTS: The 2 groups of patients had similar demographics and comorbidities (P\u2009>\u20090.05 for all). All patients with sternal plate reinforcement reported sternal stability at last follow-up (at a median of 27\u2009months postoperatively; range, 8.4-49.3\u2009months), whereas 1 patient (7.1%) who underwent standard closure developed sterile sternal dehiscence (P\u2009=\u20090.4). Postoperative patient-controlled analgesia (PCA) morphine usage was significantly higher for patients without sternal plate reinforcement than for patients who had sternal plate reinforcement (3.6\u2009mg/h vs 1.3\u2009mg/h, P\u2009=\u20090.008). No patient in the sternal plate group had wound seroma or perioperative complications attributable to sternal closure technique.\nCONCLUSION: Single xiphoid transverse plate reinforcement for primary sternal closure is a feasible option for morbidly obese patients, who are otherwise at high risk of developing sternal dehiscence. Using this technique may decrease postoperative narcotics usage. Morbidly obese patients (body mass index \u226535\u2009kg/m2) have a higher-than-normal risk of sternal dehiscence after cardiac surgery. In a pilot study, we found that those who underwent transverse sternal plating (n\u2009=\u20098) had no sternal dehiscence and required less postoperative analgesia than patients who underwent standard wire closure (n\u2009=\u200914).", 
    "genre": "research_article", 
    "id": "sg:pub.10.1186/s13019-019-0841-y", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1036453", 
        "issn": [
          "1749-8090"
        ], 
        "name": "Journal of Cardiothoracic Surgery", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "14"
      }
    ], 
    "name": "Feasibility of primary sternal plating for morbidly obese patients after cardiac surgery", 
    "pagination": "25", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "a47011941e65fc47cbcec776ae485ba3cf30a7d286e18bee408d7c63e042f974"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "30691502"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "101265113"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/s13019-019-0841-y"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1111755359"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/s13019-019-0841-y", 
      "https://app.dimensions.ai/details/publication/pub.1111755359"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T11:14", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000353_0000000353/records_45372_00000002.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1186%2Fs13019-019-0841-y"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s13019-019-0841-y'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s13019-019-0841-y'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s13019-019-0841-y'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s13019-019-0841-y'


 

This table displays all metadata directly associated to this object as RDF triples.

265 TRIPLES      21 PREDICATES      69 URIs      36 LITERALS      24 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/s13019-019-0841-y schema:about N001e98f0396846819b43c697bf167270
2 N18df267e69004a18841ae5efc23d334c
3 N2fea49e0ba6d4ffba32b25d91e79f3ac
4 N3a5b76fb234a410ebe3c48f354d4394e
5 N637794ed342c425ca40c83807b3a8291
6 N83dc7d1f4470477c997a82f17167afdb
7 N84c28ce187114b3292c51484296b5e06
8 N983d3b57fdf24f6cafbd31e4f9791308
9 N9f38f6f9f55c4170924204a2b28e8d26
10 Na1c7894b6662483a905b0e7fc9264af7
11 Na20aae04ce6146cc8d7a1aa517da095d
12 Nac6ef68093f24d13a34e6fe847badab0
13 Nc43d473afd8541b989582906900d7cd0
14 Nd4573d3d63b24572b8fcebd40f28c216
15 Nebabd6c1e9d34acea24e8cb64b523c02
16 anzsrc-for:11
17 anzsrc-for:1103
18 schema:author N517cf54745d24c438c9fbdee53a98dd7
19 schema:citation sg:pub.10.1186/1749-8090-4-19
20 https://doi.org/10.1001/jama.298.17.2028
21 https://doi.org/10.1016/j.athoracsur.2004.03.038
22 https://doi.org/10.1016/j.athoracsur.2005.03.089
23 https://doi.org/10.1016/j.athoracsur.2006.04.058
24 https://doi.org/10.1016/j.athoracsur.2007.05.023
25 https://doi.org/10.1016/j.ejcts.2004.04.038
26 https://doi.org/10.1016/j.ejcts.2008.03.030
27 https://doi.org/10.1016/j.jtcvs.2006.04.037
28 https://doi.org/10.1016/j.jtcvs.2008.03.051
29 https://doi.org/10.1016/j.neulet.2007.08.055
30 https://doi.org/10.1016/j.neuroscience.2011.01.039
31 https://doi.org/10.1016/s0003-4975(01)03389-6
32 https://doi.org/10.1016/s0003-4975(02)04988-3
33 https://doi.org/10.1016/s0003-4975(03)01468-1
34 https://doi.org/10.1016/s0003-4975(98)00231-8
35 https://doi.org/10.1016/s0022-5223(99)70251-5
36 https://doi.org/10.1016/s0140-6736(06)69251-9
37 https://doi.org/10.1016/s0967-2109(01)00128-4
38 https://doi.org/10.1016/s1010-7940(02)00124-0
39 https://doi.org/10.1016/s1569-9293(03)00259-7
40 https://doi.org/10.1056/nejmoa055643
41 https://doi.org/10.1097/00000658-200110000-00006
42 https://doi.org/10.1161/circulationaha.106.171016
43 https://doi.org/10.1510/icvts.2009.214023
44 schema:datePublished 2019-12
45 schema:datePublishedReg 2019-12-01
46 schema:description BACKGROUND: Morbidly obese patients (body mass index [BMI] ≥ 35 kg/m2) who undergo cardiac surgery involving median sternotomy have a higher-than-normal risk of sternal dehiscence. To explore a potential solution to this problem, we examined the utility of transverse sternal plating for primary sternal closure in morbidly obese cardiac surgical patients. METHODS: We retrospectively reviewed data from cardiac surgical patients who underwent single primary xiphoid transverse titanium plate reinforcement for primary sternal closure from August 2009 to July 2010 (n = 8), and we compared their outcomes with those of patients with BMI ≥35 kg/m2 who underwent cardiac surgery without sternal plate reinforcement from April 2008 to July 2009 (n = 14). All cases were performed by the same surgeon. RESULTS: The 2 groups of patients had similar demographics and comorbidities (P > 0.05 for all). All patients with sternal plate reinforcement reported sternal stability at last follow-up (at a median of 27 months postoperatively; range, 8.4-49.3 months), whereas 1 patient (7.1%) who underwent standard closure developed sterile sternal dehiscence (P = 0.4). Postoperative patient-controlled analgesia (PCA) morphine usage was significantly higher for patients without sternal plate reinforcement than for patients who had sternal plate reinforcement (3.6 mg/h vs 1.3 mg/h, P = 0.008). No patient in the sternal plate group had wound seroma or perioperative complications attributable to sternal closure technique. CONCLUSION: Single xiphoid transverse plate reinforcement for primary sternal closure is a feasible option for morbidly obese patients, who are otherwise at high risk of developing sternal dehiscence. Using this technique may decrease postoperative narcotics usage. Morbidly obese patients (body mass index ≥35 kg/m2) have a higher-than-normal risk of sternal dehiscence after cardiac surgery. In a pilot study, we found that those who underwent transverse sternal plating (n = 8) had no sternal dehiscence and required less postoperative analgesia than patients who underwent standard wire closure (n = 14).
47 schema:genre research_article
48 schema:inLanguage en
49 schema:isAccessibleForFree true
50 schema:isPartOf N25d5a0b68ace4493a1834faff36ee361
51 Ncc9ed9473e6f4ed4b1dd7d4f2bd2c19b
52 sg:journal.1036453
53 schema:name Feasibility of primary sternal plating for morbidly obese patients after cardiac surgery
54 schema:pagination 25
55 schema:productId N0503060b7e4e4470aac8b1ede2251602
56 N0bce6e3d44e4443285ab1e31f7d1eb29
57 N1305f0fe6c884b2bb68c2aaed2a8e857
58 N9eae15dee3584506974c55c04e1d7c8d
59 Ndea01c1679074f93a9f309d37ab50be7
60 schema:sameAs https://app.dimensions.ai/details/publication/pub.1111755359
61 https://doi.org/10.1186/s13019-019-0841-y
62 schema:sdDatePublished 2019-04-11T11:14
63 schema:sdLicense https://scigraph.springernature.com/explorer/license/
64 schema:sdPublisher N13be4abd379e40c599a7d81b96f91979
65 schema:url https://link.springer.com/10.1186%2Fs13019-019-0841-y
66 sgo:license sg:explorer/license/
67 sgo:sdDataset articles
68 rdf:type schema:ScholarlyArticle
69 N001e98f0396846819b43c697bf167270 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
70 schema:name Female
71 rdf:type schema:DefinedTerm
72 N0503060b7e4e4470aac8b1ede2251602 schema:name readcube_id
73 schema:value a47011941e65fc47cbcec776ae485ba3cf30a7d286e18bee408d7c63e042f974
74 rdf:type schema:PropertyValue
75 N0bce6e3d44e4443285ab1e31f7d1eb29 schema:name dimensions_id
76 schema:value pub.1111755359
77 rdf:type schema:PropertyValue
78 N1305f0fe6c884b2bb68c2aaed2a8e857 schema:name nlm_unique_id
79 schema:value 101265113
80 rdf:type schema:PropertyValue
81 N13be4abd379e40c599a7d81b96f91979 schema:name Springer Nature - SN SciGraph project
82 rdf:type schema:Organization
83 N18df267e69004a18841ae5efc23d334c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
84 schema:name Bone Plates
85 rdf:type schema:DefinedTerm
86 N1befad291a8a4293a7947c7c98759f4b schema:affiliation https://www.grid.ac/institutes/grid.21925.3d
87 schema:familyName Luketich
88 schema:givenName James D.
89 rdf:type schema:Person
90 N25d5a0b68ace4493a1834faff36ee361 schema:volumeNumber 14
91 rdf:type schema:PublicationVolume
92 N2f449e2de9cb4ea4b25245c9b2380a36 rdf:first N1befad291a8a4293a7947c7c98759f4b
93 rdf:rest Nbb73c28e653244199998647ad506c6e7
94 N2fea49e0ba6d4ffba32b25d91e79f3ac schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
95 schema:name Humans
96 rdf:type schema:DefinedTerm
97 N3a5b76fb234a410ebe3c48f354d4394e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
98 schema:name Mediastinitis
99 rdf:type schema:DefinedTerm
100 N4b2362c6241545f4a4f35057525abe6f schema:affiliation https://www.grid.ac/institutes/grid.34477.33
101 schema:familyName Liao
102 schema:givenName Joshua M.
103 rdf:type schema:Person
104 N508ef5b1ff724cb0af3c51317c9bcbb9 schema:affiliation https://www.grid.ac/institutes/grid.413890.7
105 schema:familyName Cornwell
106 schema:givenName Lorraine
107 rdf:type schema:Person
108 N517cf54745d24c438c9fbdee53a98dd7 rdf:first N4b2362c6241545f4a4f35057525abe6f
109 rdf:rest N6f9826e08c1747d6935d530ebc011402
110 N637794ed342c425ca40c83807b3a8291 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
111 schema:name Retrospective Studies
112 rdf:type schema:DefinedTerm
113 N6f9826e08c1747d6935d530ebc011402 rdf:first Na33b4c03689c4fc29374197273c9fde3
114 rdf:rest Ne8269ac21629423f86d9cdfd7f2d760a
115 N811ad54f34464f1790fd03801d08add0 schema:affiliation https://www.grid.ac/institutes/grid.410445.0
116 schema:familyName Tsai
117 schema:givenName Peter I.
118 rdf:type schema:Person
119 N83dc7d1f4470477c997a82f17167afdb schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
120 schema:name Sternotomy
121 rdf:type schema:DefinedTerm
122 N84c28ce187114b3292c51484296b5e06 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
123 schema:name Sternum
124 rdf:type schema:DefinedTerm
125 N8ae353b366d04ee9b0b5bc5fd6ebfecf rdf:first Na48baa58b3b24ec8a080ade754d549d6
126 rdf:rest Ne3d233a5c48c48668b4734246ab90d7f
127 N964ab4cab2164319be6cf2a18d97ff72 rdf:first N811ad54f34464f1790fd03801d08add0
128 rdf:rest N8ae353b366d04ee9b0b5bc5fd6ebfecf
129 N983d3b57fdf24f6cafbd31e4f9791308 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
130 schema:name Pilot Projects
131 rdf:type schema:DefinedTerm
132 N9eae15dee3584506974c55c04e1d7c8d schema:name pubmed_id
133 schema:value 30691502
134 rdf:type schema:PropertyValue
135 N9f38f6f9f55c4170924204a2b28e8d26 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
136 schema:name Cardiac Surgical Procedures
137 rdf:type schema:DefinedTerm
138 Na1c7894b6662483a905b0e7fc9264af7 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
139 schema:name Body Mass Index
140 rdf:type schema:DefinedTerm
141 Na20aae04ce6146cc8d7a1aa517da095d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
142 schema:name Male
143 rdf:type schema:DefinedTerm
144 Na33b4c03689c4fc29374197273c9fde3 schema:affiliation https://www.grid.ac/institutes/grid.21925.3d
145 schema:familyName Chan
146 schema:givenName Patrick
147 rdf:type schema:Person
148 Na48baa58b3b24ec8a080ade754d549d6 schema:affiliation https://www.grid.ac/institutes/grid.264756.4
149 schema:familyName Joo
150 schema:givenName Joseph H.
151 rdf:type schema:Person
152 Nac6ef68093f24d13a34e6fe847badab0 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
153 schema:name Wound Closure Techniques
154 rdf:type schema:DefinedTerm
155 Nbb73c28e653244199998647ad506c6e7 rdf:first Nf5a418760cfb4183bea348a3b4d7d9de
156 rdf:rest rdf:nil
157 Nc43d473afd8541b989582906900d7cd0 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
158 schema:name Surgical Wound Dehiscence
159 rdf:type schema:DefinedTerm
160 Nc533f38553bf416b92eaf7d16d86b242 schema:affiliation https://www.grid.ac/institutes/grid.239578.2
161 schema:familyName Bakaeen
162 schema:givenName Faisal G.
163 rdf:type schema:Person
164 Ncc9ed9473e6f4ed4b1dd7d4f2bd2c19b schema:issueNumber 1
165 rdf:type schema:PublicationIssue
166 Nd4573d3d63b24572b8fcebd40f28c216 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
167 schema:name Middle Aged
168 rdf:type schema:DefinedTerm
169 Ndea01c1679074f93a9f309d37ab50be7 schema:name doi
170 schema:value 10.1186/s13019-019-0841-y
171 rdf:type schema:PropertyValue
172 Ne3d233a5c48c48668b4734246ab90d7f rdf:first Nc533f38553bf416b92eaf7d16d86b242
173 rdf:rest N2f449e2de9cb4ea4b25245c9b2380a36
174 Ne8269ac21629423f86d9cdfd7f2d760a rdf:first N508ef5b1ff724cb0af3c51317c9bcbb9
175 rdf:rest N964ab4cab2164319be6cf2a18d97ff72
176 Nebabd6c1e9d34acea24e8cb64b523c02 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
177 schema:name Obesity, Morbid
178 rdf:type schema:DefinedTerm
179 Nf5a418760cfb4183bea348a3b4d7d9de schema:affiliation https://www.grid.ac/institutes/grid.412689.0
180 schema:familyName Chu
181 schema:givenName Danny
182 rdf:type schema:Person
183 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
184 schema:name Medical and Health Sciences
185 rdf:type schema:DefinedTerm
186 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
187 schema:name Clinical Sciences
188 rdf:type schema:DefinedTerm
189 sg:journal.1036453 schema:issn 1749-8090
190 schema:name Journal of Cardiothoracic Surgery
191 rdf:type schema:Periodical
192 sg:pub.10.1186/1749-8090-4-19 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007581515
193 https://doi.org/10.1186/1749-8090-4-19
194 rdf:type schema:CreativeWork
195 https://doi.org/10.1001/jama.298.17.2028 schema:sameAs https://app.dimensions.ai/details/publication/pub.1002128587
196 rdf:type schema:CreativeWork
197 https://doi.org/10.1016/j.athoracsur.2004.03.038 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005395346
198 rdf:type schema:CreativeWork
199 https://doi.org/10.1016/j.athoracsur.2005.03.089 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025172110
200 rdf:type schema:CreativeWork
201 https://doi.org/10.1016/j.athoracsur.2006.04.058 schema:sameAs https://app.dimensions.ai/details/publication/pub.1000083721
202 rdf:type schema:CreativeWork
203 https://doi.org/10.1016/j.athoracsur.2007.05.023 schema:sameAs https://app.dimensions.ai/details/publication/pub.1035382604
204 rdf:type schema:CreativeWork
205 https://doi.org/10.1016/j.ejcts.2004.04.038 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017823993
206 rdf:type schema:CreativeWork
207 https://doi.org/10.1016/j.ejcts.2008.03.030 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037278338
208 rdf:type schema:CreativeWork
209 https://doi.org/10.1016/j.jtcvs.2006.04.037 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051066572
210 rdf:type schema:CreativeWork
211 https://doi.org/10.1016/j.jtcvs.2008.03.051 schema:sameAs https://app.dimensions.ai/details/publication/pub.1052822761
212 rdf:type schema:CreativeWork
213 https://doi.org/10.1016/j.neulet.2007.08.055 schema:sameAs https://app.dimensions.ai/details/publication/pub.1013145823
214 rdf:type schema:CreativeWork
215 https://doi.org/10.1016/j.neuroscience.2011.01.039 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039218209
216 rdf:type schema:CreativeWork
217 https://doi.org/10.1016/s0003-4975(01)03389-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032045725
218 rdf:type schema:CreativeWork
219 https://doi.org/10.1016/s0003-4975(02)04988-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001625085
220 rdf:type schema:CreativeWork
221 https://doi.org/10.1016/s0003-4975(03)01468-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021534362
222 rdf:type schema:CreativeWork
223 https://doi.org/10.1016/s0003-4975(98)00231-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1052372041
224 rdf:type schema:CreativeWork
225 https://doi.org/10.1016/s0022-5223(99)70251-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008225343
226 rdf:type schema:CreativeWork
227 https://doi.org/10.1016/s0140-6736(06)69251-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008263569
228 rdf:type schema:CreativeWork
229 https://doi.org/10.1016/s0967-2109(01)00128-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042872401
230 rdf:type schema:CreativeWork
231 https://doi.org/10.1016/s1010-7940(02)00124-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1054669792
232 rdf:type schema:CreativeWork
233 https://doi.org/10.1016/s1569-9293(03)00259-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1054720431
234 rdf:type schema:CreativeWork
235 https://doi.org/10.1056/nejmoa055643 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010723462
236 rdf:type schema:CreativeWork
237 https://doi.org/10.1097/00000658-200110000-00006 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042384453
238 rdf:type schema:CreativeWork
239 https://doi.org/10.1161/circulationaha.106.171016 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019444886
240 rdf:type schema:CreativeWork
241 https://doi.org/10.1510/icvts.2009.214023 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037800416
242 rdf:type schema:CreativeWork
243 https://www.grid.ac/institutes/grid.21925.3d schema:alternateName University of Pittsburgh
244 schema:name Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
245 rdf:type schema:Organization
246 https://www.grid.ac/institutes/grid.239578.2 schema:alternateName Cleveland Clinic
247 schema:name Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH, USA
248 rdf:type schema:Organization
249 https://www.grid.ac/institutes/grid.264756.4 schema:alternateName Texas A&M University
250 schema:name College of Medicine, Texas A&M University, Bryan, TX, USA
251 rdf:type schema:Organization
252 https://www.grid.ac/institutes/grid.34477.33 schema:alternateName University of Washington
253 schema:name Department of Medicine, University of Washington, Seattle, WA, USA
254 rdf:type schema:Organization
255 https://www.grid.ac/institutes/grid.410445.0 schema:alternateName University of Hawaii at Manoa
256 schema:name Department of Surgery, University of Hawaii, Honolulu, HI, USA
257 rdf:type schema:Organization
258 https://www.grid.ac/institutes/grid.412689.0 schema:alternateName University of Pittsburgh Medical Center
259 schema:name Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
260 University of Pittsburgh Medical Center Heart & Vascular Institute, 200 Lothrop Street, C-700, 15213, Pittsburgh, PA, USA
261 rdf:type schema:Organization
262 https://www.grid.ac/institutes/grid.413890.7 schema:alternateName Michael E. DeBakey VA Medical Center
263 schema:name Department of Surgery, University of Hawaii, Honolulu, HI, USA
264 Division of Cardiothoracic Surgery, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA
265 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...