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At least 685 records · Page 38Linked to original sources
PubMed1995

Sternotomy infection due to Mycoplasma hominis and Ureaplasma urealyticum.

Mycoplasma hominis infections outside the urogenital tract are uncommon. An unusual case of sternal infection caused by both Mycoplasma hominis and Ureaplasma urealyticum is described. This is the first report found in the literature of mixed infection due to these microorganisms at this site. The outcome was favourable after drainage of the surgical wound and antibiotic therapy with clindamycin, gentamicin and doxycycline.

Humans↗
PubMed1984

Sternal safety blade for median or transverse sternotomy.

Sternal safety blades are useful for splitting the sternum in approaching the anterior, superior, or middle mediastinum for the removal of lesions of the thymus, exploration of parathyroid adenomas, removal of large substernal thyroids, open heart procedures, and traumatic chest injuries. One of the chief indications for using the safety blade is in patients undergoing second open heart procedures, since the anterior mediastinum is markedly reduced in size, thus making the heart and great vessels vulnerable to injury.

Child↗
PubMed1989

Reoperative median sternotomy.

Sternal reentry for reoperative cardiac procedures poses a substantial risk of technical problems. A simple technique for sternal reentry is described that is both expeditious and safe.

Humans↗
PubMed1989

Brachial plexus lesions following cardiac surgery with median sternotomy and cannulation of the internal jugular vein.

There are many possible complications after cannulation of the internal jugular vein (IJV) including injury to the brachial plexus. Neurologic injuries can also occur from sternal splitting. The present study looked at the incidence of brachial plexus lesions after cardiac surgery with and without IJV cannulation. Over 12 months, 815 patients were studied after all types of cardiac surgery. In one half of the group, cannulation of the IJV was avoided when possible. Reducing the incidence of IJV catheterization did not lower the overall incidence of brachial plexus lesions (1.8% to 1.4%). However, there was a higher incidence of neurologic lesions in patients with IJV catheters (3.0% to 0.8%) during the entire study period. All 13 plexus lesions were in the C8-T1 distribution, and seven of the patients had a Horner's syndrome on the same side. No posterior first rib fractures could be detected by radiographs. The brachial plexus lesions were transient but the Horner's syndromes were longer-lasting. It is concluded that the injuries are due to compression and traction of the plexus due to stretching and possibly from hematoma formation from the IJV punctures.

Adult↗