Our Summary

This study compared two different methods of stitching up the chest bone (sternum) in dogs after surgery. The first method used a kind of metal wire (orthopedic wire cerclage), and the second used a special type of stitch (suture tape). Both were used in a figure-of-eight pattern.

The team tested these methods on the chest bones from 12 large dogs that had died (not killed for the study). They pulled on the bones until the stitches or wires broke to see which method was stronger.

They found that both methods were pretty much the same in terms of how much they could be pulled before breaking. However, the metal wire was stiffer than the stitch.

The results suggest that the suture tape could be a possible alternative to the metal wire for stitching up the chest bone after surgery. However, more studies are needed to see how well it works in real-life situations.

FAQs

  1. What were the two materials compared in this study for sternotomy closure in dogs?
  2. What was the primary difference found between the use of suture tape and orthopedic wire cerclage in sternotomy closure?
  3. What further studies are suggested based on the findings of this research?

Doctor’s Tip

A doctor might tell a patient undergoing sternotomy that suture tape can be a viable alternative to orthopedic wire cerclage for closure of the sternum. While the wire construct may be stiffer, the suture tape still provides adequate mechanical support. It is important to follow post-operative care instructions and attend follow-up appointments to ensure proper healing.

Suitable For

Patients who undergo sternotomy procedures, such as those undergoing cardiac surgery or other thoracic procedures, may be recommended sternotomy closure using suture tape or orthopedic wire cerclage. This study specifically looked at the mechanical properties of these two closure methods in a canine model. It is important to note that additional studies are needed to evaluate the clinical use of suture tape for sternotomy closure in dogs and potentially in other patient populations.

Timeline

Before sternotomy:

  1. Patient presents with symptoms requiring surgical intervention, such as chest pain or heart issues.
  2. Patient undergoes pre-operative evaluations, including imaging tests and blood work.
  3. Surgeon discusses the procedure with the patient and obtains informed consent.
  4. Patient is prepared for surgery, including fasting and possibly other pre-operative instructions.

After sternotomy:

  1. Patient is positioned on the operating table and anesthesia is administered.
  2. Surgeon makes an incision in the chest and performs the sternotomy to access the heart or other organs.
  3. Procedure is completed, and the sternum is closed using either orthopedic wire cerclage or suture tape in a figure-of-eight pattern.
  4. Patient is monitored in the recovery room and then transferred to a hospital room for further observation and care.
  5. Patient undergoes post-operative evaluations and follow-up appointments to ensure proper healing and recovery.

What to Ask Your Doctor

  1. Is sternotomy necessary for my condition and what are the potential risks and benefits associated with the procedure?
  2. What type of closure method will be used for my sternotomy (suture tape or orthopedic wire cerclage) and why?
  3. What are the differences in terms of mechanical properties between suture tape and orthopedic wire cerclage for sternotomy closure?
  4. How does the stiffness of the closure method impact recovery and potential complications post-surgery?
  5. Are there any specific factors about my health or anatomy that may influence the choice of closure method for my sternotomy?
  6. What is the expected recovery time and activity restrictions following sternotomy closure with suture tape or orthopedic wire cerclage?
  7. Are there any long-term implications or considerations I should be aware of with either closure method for my sternotomy?
  8. What are the alternative methods or technologies available for sternotomy closure, and how do they compare to suture tape and orthopedic wire cerclage?
  9. How will the choice of closure method for my sternotomy affect the overall success of my treatment and prognosis?
  10. Are there any specific follow-up appointments or monitoring that will be necessary after my sternotomy closure with suture tape or orthopedic wire cerclage?

Reference

Authors: Rivenburg RE, Maxwell EA, Bertran J, Souza CHM, Smith BL. Journal: Vet Surg. 2023 Oct;52(7):1057-1063. doi: 10.1111/vsu.14015. Epub 2023 Aug 21. PMID: 37603027