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SAS Journal of Surgery | Volume-4 | Issue-12
Delayed Sternal Closure in Cardiac Surgery
Nantha Kumar Nadarjah, M N Mohd Arif, M K Hamzah
Published: Dec. 30, 2018 |
199
163
DOI: 10.21276/sasjs.2018.4.12.4
Pages: 308-314
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Abstract
Open chest (OC) with subsequent delayed sternal closure (DSC) has been
described as a theraputic option in the treatment of severely impaired heart including
hemodynamic instability, marked myocardial edema, respiratory compromise,
intractable bleeding, placement of assist devices, and persistent arrhythmias. In this
review, we evaluate the investigations on the incidence, survival, and morbidity of open
chest management (OCM) patients who subsequently required DSC. The Medline and
Embase databases were searched in December 2018 using relevant key words, limited
to human studies in the English language. Cohort studies of open chest management
with delayed sternal closure were identified.