Uso de placas de titanio y alambre esternal en el cierre de esternotomías en 84 pacientes durante el periodo de septiembre del 2015 hasta abril del 2017 en el Hospital Docente Clínica Kennedy de la ciudad de Guayaquil.

Abstract

INTRODUCTION: In the past, the conventional method for sternotomy closure consisted of the use of wires to approximate several points of the sternum along the incision. However, this method entailed several complications associated with the high voltages generated by the cables and incomplete closures. This study aims to show a new technique for the closure of sternotomies that consists of the use of titanium plates and sternal wires. MATERIALS AND METHODS: An observational, descriptive study was carried out by reporting case series in 84 patients with sternotomies in the period from September 2015 to April 2017 at the Kennedy Clinical Teaching Hospital in the city of Guayaquil. RESULTS: Of the 84 patients who underwent surgery with this new method of closure for sternotomies, there were only three cases of complications associated with sternotomies and re-intervention due to causes unrelated to the technique. CONCLUSIONS: The closure method for sternotomies using titanium plates plus sternal wire has been shown to be superior to conventional use only of sternal wire, reducing its complications by more than half.