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Gianfederico Possati
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J Thorac Cardiovasc Surg 2006;132:1243-1244
© 2006 The American Association for Thoracic Surgery

Letter to the Editor

Adjusting the indication to polydioxane suture for elective sternal closure

Nicola Luciani, MD, Amedeo Anselmi, MD, Gianfederico Possati, MD

Department of Cardiac Surgery, Catholic University of the Sacred Heart, Rome, Italy

The first 20% of the full text of this article appears below.

To the Editor:

We read with great interest the report by Dr Usui and coworkers.1Go They reported a large series of 350 patients who had the sternum closed electively with 1-0 polydioxane (PDS; Ethicon, Inc, Somerville, NY) cord suture. They recorded 3 cases of late sternal dehiscence resulting from filament fracture; in 2 they were obliged to carry out sternal refixation in the operating room. One of these patients was obese. As the article photographically demonstrates, the mechanism of rupture involved the filament being torn off by the bone edge. Hence the authors questioned the reliability of PDS in elective sternal . . . [Full Text of this Article]


Related Article

Reply to the Editor
Akihiko Usui and Yuichi Ueda
J. Thorac. Cardiovasc. Surg. 2006 132: 1244. [Extract] [Full Text] [PDF]





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