Post-Surgical Outcomes After Sternal Closure Using Zipfix Band and Steel Wires

Udgeath Dhir; Anand Kumar; Rakesh Saklani; Vishal Jain

doi:doi:10.11648/j.ijcts.20200606.15

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Post-Surgical Outcomes After Sternal Closure Using Zipfix Band and Steel Wires

Udgeath Dhir, Anand Kumar, Rakesh Saklani, Vishal Jain

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 6, Issue 6)

Received: 30 November 2020 Accepted: 19 December 2020 Published: 25 December 2020

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Abstract

Median sternotomy is the most commonly used and the standard way of an incision after cardiothoracic procedures. The use of stainless steel wire has been considered the gold standard in the sternal closure system; however, increasing postoperative complications have caused other options. The aim of this study is to understand the combined effect of the ZipFix bands with steel wires on postoperative outcomes after sternal closure. This is a real-world evidence study of patients treated using the ZipFix band and steel wires. The sternal closure is performed by fixing of manubrium with straight simple wires, followed with ZipFix 3 or 4 spaces. Demographic characters of patients using the ZipFix band and steel wire and their relation to sternal infections, wound dehiscence, and post-surgical outcomes are studied. From gathered evidence, 2% of patients’ cases were complicated with the incidence of sternal infections. Ninety-nine percentage of patients had a stable and healthy wound while 1% of patients showed sternal wound dehiscence. The mean duration of hospital and intensive care unit stay was 8.53 (± 4.84) days and 3.58 (± 5.01) days respectively. The use of the sternal ZipFix system in combination with stainless steel wire is found to be effective in reducing post-surgical complications.

Published in	International Journal of Cardiovascular and Thoracic Surgery (Volume 6, Issue 6)
DOI	10.11648/j.ijcts.20200606.15
Page(s)	85-89
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Zipfix, Median Sternotomy, Stainless Steel Wires, Sternal Wound Infections

References

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APA Style

Udgeath Dhir, Anand Kumar, Rakesh Saklani, Vishal Jain. (2020). Post-Surgical Outcomes After Sternal Closure Using Zipfix Band and Steel Wires. International Journal of Cardiovascular and Thoracic Surgery, 6(6), 85-89. https://doi.org/10.11648/j.ijcts.20200606.15

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ACS Style

Udgeath Dhir; Anand Kumar; Rakesh Saklani; Vishal Jain. Post-Surgical Outcomes After Sternal Closure Using Zipfix Band and Steel Wires. Int. J. Cardiovasc. Thorac. Surg. 2020, 6(6), 85-89. doi: 10.11648/j.ijcts.20200606.15

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AMA Style

Udgeath Dhir, Anand Kumar, Rakesh Saklani, Vishal Jain. Post-Surgical Outcomes After Sternal Closure Using Zipfix Band and Steel Wires. Int J Cardiovasc Thorac Surg. 2020;6(6):85-89. doi: 10.11648/j.ijcts.20200606.15

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@article{10.11648/j.ijcts.20200606.15,
  author = {Udgeath Dhir and Anand Kumar and Rakesh Saklani and Vishal Jain},
  title = {Post-Surgical Outcomes After Sternal Closure Using Zipfix Band and Steel Wires},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {6},
  number = {6},
  pages = {85-89},
  doi = {10.11648/j.ijcts.20200606.15},
  url = {https://doi.org/10.11648/j.ijcts.20200606.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20200606.15},
  abstract = {Median sternotomy is the most commonly used and the standard way of an incision after cardiothoracic procedures. The use of stainless steel wire has been considered the gold standard in the sternal closure system; however, increasing postoperative complications have caused other options. The aim of this study is to understand the combined effect of the ZipFix bands with steel wires on postoperative outcomes after sternal closure. This is a real-world evidence study of patients treated using the ZipFix band and steel wires. The sternal closure is performed by fixing of manubrium with straight simple wires, followed with ZipFix 3 or 4 spaces. Demographic characters of patients using the ZipFix band and steel wire and their relation to sternal infections, wound dehiscence, and post-surgical outcomes are studied. From gathered evidence, 2% of patients’ cases were complicated with the incidence of sternal infections. Ninety-nine percentage of patients had a stable and healthy wound while 1% of patients showed sternal wound dehiscence. The mean duration of hospital and intensive care unit stay was 8.53 (± 4.84) days and 3.58 (± 5.01) days respectively. The use of the sternal ZipFix system in combination with stainless steel wire is found to be effective in reducing post-surgical complications.},
 year = {2020}
}

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TY - JOUR
T1 - Post-Surgical Outcomes After Sternal Closure Using Zipfix Band and Steel Wires
AU - Udgeath Dhir
AU - Anand Kumar
AU - Rakesh Saklani
AU - Vishal Jain
Y1 - 2020/12/25
PY - 2020
N1 - https://doi.org/10.11648/j.ijcts.20200606.15
DO - 10.11648/j.ijcts.20200606.15
T2 - International Journal of Cardiovascular and Thoracic Surgery
JF - International Journal of Cardiovascular and Thoracic Surgery
JO - International Journal of Cardiovascular and Thoracic Surgery
SP - 85
EP - 89
PB - Science Publishing Group
SN - 2575-4882
UR - https://doi.org/10.11648/j.ijcts.20200606.15
AB - Median sternotomy is the most commonly used and the standard way of an incision after cardiothoracic procedures. The use of stainless steel wire has been considered the gold standard in the sternal closure system; however, increasing postoperative complications have caused other options. The aim of this study is to understand the combined effect of the ZipFix bands with steel wires on postoperative outcomes after sternal closure. This is a real-world evidence study of patients treated using the ZipFix band and steel wires. The sternal closure is performed by fixing of manubrium with straight simple wires, followed with ZipFix 3 or 4 spaces. Demographic characters of patients using the ZipFix band and steel wire and their relation to sternal infections, wound dehiscence, and post-surgical outcomes are studied. From gathered evidence, 2% of patients’ cases were complicated with the incidence of sternal infections. Ninety-nine percentage of patients had a stable and healthy wound while 1% of patients showed sternal wound dehiscence. The mean duration of hospital and intensive care unit stay was 8.53 (± 4.84) days and 3.58 (± 5.01) days respectively. The use of the sternal ZipFix system in combination with stainless steel wire is found to be effective in reducing post-surgical complications.
VL - 6
IS - 6
ER -

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Author Information

Udgeath Dhir

Department of Cardiothoracic and Vascular Surgery, Fortis Memorial Research Institute, Gurgaon, India
Anand Kumar

Department of Cardiothoracic and Vascular Surgery, Fortis Memorial Research Institute, Gurgaon, India
Rakesh Saklani

Department of Cardiothoracic and Vascular Surgery, Fortis Memorial Research Institute, Gurgaon, India
Vishal Jain

Department of Cardiac Anaesthesia, Fortis Memorial Research Institute, Gurgaon, India

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APA Style

Udgeath Dhir, Anand Kumar, Rakesh Saklani, Vishal Jain. (2020). Post-Surgical Outcomes After Sternal Closure Using Zipfix Band and Steel Wires. International Journal of Cardiovascular and Thoracic Surgery, 6(6), 85-89. https://doi.org/10.11648/j.ijcts.20200606.15

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ACS Style

Udgeath Dhir; Anand Kumar; Rakesh Saklani; Vishal Jain. Post-Surgical Outcomes After Sternal Closure Using Zipfix Band and Steel Wires. Int. J. Cardiovasc. Thorac. Surg. 2020, 6(6), 85-89. doi: 10.11648/j.ijcts.20200606.15

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AMA Style

Udgeath Dhir, Anand Kumar, Rakesh Saklani, Vishal Jain. Post-Surgical Outcomes After Sternal Closure Using Zipfix Band and Steel Wires. Int J Cardiovasc Thorac Surg. 2020;6(6):85-89. doi: 10.11648/j.ijcts.20200606.15

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@article{10.11648/j.ijcts.20200606.15,
  author = {Udgeath Dhir and Anand Kumar and Rakesh Saklani and Vishal Jain},
  title = {Post-Surgical Outcomes After Sternal Closure Using Zipfix Band and Steel Wires},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {6},
  number = {6},
  pages = {85-89},
  doi = {10.11648/j.ijcts.20200606.15},
  url = {https://doi.org/10.11648/j.ijcts.20200606.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20200606.15},
  abstract = {Median sternotomy is the most commonly used and the standard way of an incision after cardiothoracic procedures. The use of stainless steel wire has been considered the gold standard in the sternal closure system; however, increasing postoperative complications have caused other options. The aim of this study is to understand the combined effect of the ZipFix bands with steel wires on postoperative outcomes after sternal closure. This is a real-world evidence study of patients treated using the ZipFix band and steel wires. The sternal closure is performed by fixing of manubrium with straight simple wires, followed with ZipFix 3 or 4 spaces. Demographic characters of patients using the ZipFix band and steel wire and their relation to sternal infections, wound dehiscence, and post-surgical outcomes are studied. From gathered evidence, 2% of patients’ cases were complicated with the incidence of sternal infections. Ninety-nine percentage of patients had a stable and healthy wound while 1% of patients showed sternal wound dehiscence. The mean duration of hospital and intensive care unit stay was 8.53 (± 4.84) days and 3.58 (± 5.01) days respectively. The use of the sternal ZipFix system in combination with stainless steel wire is found to be effective in reducing post-surgical complications.},
 year = {2020}
}

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