Method Methods and outcomes of sternal closure were reviewed in consecutive patients undergoing a variety of cardiothoracic surgical procedures. Sternal closure in the historical control group was performed using trans-sternal, stainlesssteel wire sutures; subsequent patients were closed using wire sutures together with a novel, peristernal cable-tie closure system to reinforce the corpus stern...

background: some studies have shown the possible role of protein‑energy malnutrition (pem) in persistence of endemic goiter in iodine replenished areas. the present study was conducted to assess the association between pem and goiter in schoolchildren of isfahan, iran. methods: in a cross‑sectional study using multistage cluster random‑sampling, 2331 schoolchildren with age ranged from 6‑13 yea...

introduction : in order to evaluate the role of thyroid autoimmunity in patients with goiter, this study was done 10 years after implementation of iodine supplementation program ( iodised salt). the serum levels of thyroid peroxidase antibodies (anti tpo) and thyroglobulin antibodies (anti tg) were studied in a group of patients with simple goiter and compared with normal controls. materials an...

OBJECTIVES Mechanical complications of median sternotomy may cause significant morbidity and mortality in cardiac surgical patients. This study was aimed at assessing the role of Posthorax support vest (Epple, Inc., Vienna, Austria) in the prevention of sternal complications and the improvement of anatomical healing in patients at high risk for mechanical sternal dehiscence after cardiac surger...

Redo open-heart surgery and sternal reentry in patients with previous deep sternal wound infection (DSWI) and absence of sternal integrity can be a delicate and morbid task due the lack of a dissection plane between the heart and the surrounding soft tissues. Delayed sternal reconstruction and osteosynthesis with horizontal titanium plating fixation (Synthes) following vacuum assisted therapy (...

[Purpose] To investigate the effects of combined chest expansion and breathing exercises in a patient with sternal pain. [Subject and Methods] The study subject was a 36-year-old female employed as a babysitter who complained of sternal pain at the T1-4 level. The subject performed the combined chest expansion and breathing exercises. [Results] The thoracic kyphosis angle after combined chest e...

Figure 1. Mediastinal defect with exposed pros-thetic aortic root graft. DESCRIPTION A 70-year-old woman with short stature and hypermastia underwent ascending aortic aneurysm repair with a prosthetic graft, complicated by postoperative mediastinitis and sternal dehiscence. She was treated with aggressive sternal debridement and negative pressure wound therapy for 1 week (Fig 1) prior to defini...

BACKGROUND Recurrent radiation-induced osteosarcoma of the sternum following remote radiation therapy for breast cancer and sternal reconstruction. CASE A 51-year-old woman presents with recurrent, radiation-induced sternal osteosarcoma 11 years after receiving both radiation therapy for breast cancer and sternal reconstruction. The case details both her work-up and subsequent course, includi...