Abstract
Repeat median sternotomy does not allow good access for retrosternal re-entry. Conversely, by using the plastron-trapdoor technique, which we describe in this report, the retrosternal tissues are dissected from the body of the sternum under direct vision, thus allowing relatively safe and wide exposure for retrosternal re-entry.
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References
FM Follis SB Pett SuffixJr KB Miller RS Wong RT Temes JA Wernley (1999) ArticleTitleCatastrophic hemorrhage on sternal reentry: still a dreaded complication? Ann Thorac Surg 68 2215–9 Occurrence Handle10617005 Occurrence Handle1:STN:280:DC%2BD3c%2Fotlaqtw%3D%3D Occurrence Handle10.1016/S0003-4975(99)01173-X
BF Akl SB Pett SuffixJr JA Wernly (1984) ArticleTitleUse of a sagittal oscilating saw for repeat sternotomy: a safer and simpler technique Ann Thorac Surg 38 646–7 Occurrence Handle6508422 Occurrence Handle1:STN:280:DyaL2M%2FntFemtQ%3D%3D Occurrence Handle10.1016/S0003-4975(10)62329-6
AC Eddy D Miller D Johnson D Gartman M Gregg M Allen et al. (1991) ArticleTitleAnterior retraction for reoperative median sternotomy Am J Surg 161 556–9 Occurrence Handle2031536 Occurrence Handle1:STN:280:DyaK3M3jtl2ruw%3D%3D Occurrence Handle10.1016/0002-9610(91)90898-N
KS Ulicny SuffixJr LF Hiratzka RB Williams GL Grunkemeier JB Flege SuffixJr CB Wright et al. (1990) ArticleTitleSternotomy infection: poor prediction by acute phase response and delayed hypersensitivity Ann Thorac Surg 50 949–58 Occurrence Handle1700683 Occurrence Handle10.1016/0003-4975(90)91128-X
JA Ascherman SM Patel SM Malhotra CR Smith (2004) ArticleTitleManagement of sternal wounds with bilateral pectoralis major myocutaneous advancement flaps in 114 consecutively treated patients: refinements in technique and outcomes analysis Plast Reconstr Surg 114 676–83 Occurrence Handle15318045 Occurrence Handle10.1097/01.PRS.0000130939.32238.3B
DB Doty JA Hawkins (1983) ArticleTitleA turnover operation for pectus excavatum at the time of correction of intracardiac defects J Thorac Cardiovasc Surg 86 787–90 Occurrence Handle6632955 Occurrence Handle1:STN:280:DyaL2c%2FjvVSrug%3D%3D
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Endo, S., Hasegawa, T., Tsubochi, H. et al. Plastron-Trapdoor Technique for Direct-Vision Sternal Re-entry. Surg Today 36, 574–576 (2006). https://doi.org/10.1007/s00595-006-3192-y
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DOI: https://doi.org/10.1007/s00595-006-3192-y