FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4245875488> ?p ?o ?g. }

• W4245875488 endingPage "1244" @default.
• W4245875488 startingPage "1244" @default.
• W4245875488 abstract "Dr Luciani and coworkers have proposed an indication of polydioxane (PDS) sutures for elective sternal closure, indicating that candidates to undergo closure with PDS cord (Johnson and Johnson Co, Ltd, New Brunswick, NJ) must be properly selected. A PDS sternal suture shows a protective effect against steel wire cutting through the bone in a subgroup of elderly, female, and petite patients without PDS filament fractures. Therefore, this subgroup is a good candidate for PDS sternal closure. For patients with slightly larger body surface areas, the PDS cord could be used together with steel wires to avoid PDS filament fractures. Patients who have had open wound treatment of mediastinitis are also good candidates. Absorbable sutures have the advantage of protecting against recurrent infection. PDS sternal sutures have both advantages and disadvantages. PDS sutures are suitable for fragile and osteoporotic sternum to avoid bone cutting and might be effective for infected sternum because of its absorbability. But PDS sutures carry the risk of filament fracture caused by abrasion injury with the bone edge and gradual reduction of tensile strength after use in the body. Manufacturer data show that the tensile strength decreased 50% to 65% of the previous value at 3 weeks and 30% to 40% at 6 weeks after implantation. Therefore, heavy polyester synthetic sutures are recommended to protect sternal splitting by bone cutting for bigger patients. The company has a newly developed PDS cord that is 1.5 mm in diameter with nearly twice the tensile strength (380 N) of PDS cord that is 1.0 mm in diameter (180 N). It should have sufficient strength, even several weeks after implantation. The sternal closure technique is another way to avoid PDS filament fracture. The figure-eight technique, in which the PDS suture is inserted just beside the sternum body above and below the intercostal space, should also increase the stability of sternal fixation and reduce tensile strength for each PDS suture. An absorbable sternal fixation pin (superFIXSORB; Johnson and Johnson Co, Ltd, Tokyo, Japan) is also helpful to increase the stability of sternal fixation (Figure 1). We agree with the adjusting indication for PDS sutures proposed by Dr Luciani and coworkers. Absorbable sutures, such as PDS cord, have many advantages for elective sternal closure. PDS sutures should be used with an understanding of its disadvantages, and the figure-eight technique and PDS cord of 1.5 mm in diameter might expand its indication. Adjusting the indication to polydioxane suture for elective sternal closureThe Journal of Thoracic and Cardiovascular SurgeryVol. 132Issue 5PreviewWe read with great interest the report by Dr Usui and coworkers.1 They reported a large series of 350 patients who had the sternum closed electively with 1-0 polydioxane (PDS; Ethicon, Inc, Somerville, NY) cord suture. They recorded 3 cases of late sternal dehiscence resulting from filament fracture; in 2 they were obliged to carry out sternal refixation in the operating room. One of these patients was obese. As the article photographically demonstrates, the mechanism of rupture involved the filament being torn off by the bone edge. Full-Text PDF" @default.
• W4245875488 created "2022-05-12" @default.
• W4245875488 creator A5015804841 @default.
• W4245875488 creator A5070443746 @default.
• W4245875488 date "2006-11-01" @default.
• W4245875488 modified "2023-09-29" @default.
• W4245875488 title "Reply to the Editor" @default.
• W4245875488 doi "https://doi.org/10.1016/j.jtcvs.2006.08.015" @default.
• W4245875488 hasPublicationYear "2006" @default.
• W4245875488 type Work @default.
• W4245875488 citedByCount "0" @default.
• W4245875488 crossrefType "journal-article" @default.
• W4245875488 hasAuthorship W4245875488A5015804841 @default.
• W4245875488 hasAuthorship W4245875488A5070443746 @default.
• W4245875488 hasBestOaLocation W42458754881 @default.
• W4245875488 hasConcept C112950240 @default.
• W4245875488 hasConcept C118231568 @default.
• W4245875488 hasConcept C141071460 @default.
• W4245875488 hasConcept C159985019 @default.
• W4245875488 hasConcept C192562407 @default.
• W4245875488 hasConcept C2777327002 @default.
• W4245875488 hasConcept C2778620301 @default.
• W4245875488 hasConcept C2781101105 @default.
• W4245875488 hasConcept C71924100 @default.
• W4245875488 hasConceptScore W4245875488C112950240 @default.
• W4245875488 hasConceptScore W4245875488C118231568 @default.
• W4245875488 hasConceptScore W4245875488C141071460 @default.
• W4245875488 hasConceptScore W4245875488C159985019 @default.
• W4245875488 hasConceptScore W4245875488C192562407 @default.
• W4245875488 hasConceptScore W4245875488C2777327002 @default.
• W4245875488 hasConceptScore W4245875488C2778620301 @default.
• W4245875488 hasConceptScore W4245875488C2781101105 @default.
• W4245875488 hasConceptScore W4245875488C71924100 @default.
• W4245875488 hasIssue "5" @default.
• W4245875488 hasLocation W42458754881 @default.
• W4245875488 hasOpenAccess W4245875488 @default.
• W4245875488 hasPrimaryLocation W42458754881 @default.
• W4245875488 hasRelatedWork W1506454421 @default.
• W4245875488 hasRelatedWork W1989996051 @default.
• W4245875488 hasRelatedWork W1999778574 @default.
• W4245875488 hasRelatedWork W2024227954 @default.
• W4245875488 hasRelatedWork W2060704044 @default.
• W4245875488 hasRelatedWork W2075303873 @default.
• W4245875488 hasRelatedWork W2086215929 @default.
• W4245875488 hasRelatedWork W2317142598 @default.
• W4245875488 hasRelatedWork W3100279274 @default.
• W4245875488 hasRelatedWork W4206840700 @default.
• W4245875488 hasVolume "132" @default.
• W4245875488 isParatext "false" @default.
• W4245875488 isRetracted "false" @default.
• W4245875488 workType "article" @default.