Sternal closure with single compared with double or figure of 8 wires in obese patients following cardiac surgery: A systematic review and meta‐analysis

@article{Shafi2021SternalCW,
  title={Sternal closure with single compared with double or figure of 8 wires in obese patients following cardiac surgery: A systematic review and meta‐analysis},
  author={Ahmed Mohamed Abdel Shafi and Eyad Abuelgasim and Biyaser Abuelgasim and Sashini Iddawela and Amer Harky},
  journal={Journal of Cardiac Surgery},
  year={2021},
  volume={36},
  pages={1072 - 1082}
}
Sternal instability and wound infections are major causes of morbidity following cardiac surgery, which is further amplified in high risk patients that include diabetics and patients with high body mass index (BMI). We compare the different outcomes of different sternal wire closure techniques following median sternotomy for cardiac surgery in obese patients. 
Response to Letter to the Editor
TLDR
It is outlined in the recent systematic review and meta‐analysis that there is benefit in the use of either double or figure‐of‐8 sternal wire closure techniques over single wire closure in terms of lower sternal instability, although larger comparative studies are required. Expand
Sternal wound dehiscence after median sternotomy: An alternative closure technique
TLDR
This alternative sternal closure using a Goretex strips that protect the intercostal spaces parasternally is a safe and feasible procedure that seems to be less traumatic for patients with a high risk of traumatism. Expand

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