Canis ISSN: 2398-2942

Thorax: median sternotomy

Synonym(s): Sternal split

Contributor(s): Zoe Halfacree

Introduction

  • Median approach to the thorax.

Uses

Combined with cranial laparotomy

Advantages

  • Good bilateral exposure of thorax (except dorsally).
  • Good access to cranial hemithorax:
    • Trachea.
    • Cranial 2/3 esophagus.
    • Mediastinum.
    • Vessel arising from aorta.

Disadvantages

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • McCready D J, Bell J C, Ness M G et al (2015) Mechanical comparison of monofilament nylon leader and orthopaedic wire for median sternotomy closure. JSAP 56 (8), 510-515 PubMed.
  • Gines J A, Friend E J, Vives M A et al (2011) Mechanical comparison of median sternotomy closure in dogs using polydioxanone and wire sutures. JSAP 52 (11), 582-586 PubMed.
  • Burton C A & White R N (1996) Review of the technique and complications of median sternotomy in the dog and cat. JSAP 37 (11), 516-522 PubMed.
  • Dhokarikar P, Caywood D D, Stobie D et al (1996) Effects of intramuscular or intrpleural administration of morphine and intrapleural administration of bupiviane on pulmonary function in dogs that have undergone median sternotomy. Am J Vet Res 57 (3), 375-380 PubMed.
  • Ringwald R J & Birchard S J (1989) Complications of median sternotomy in the dog and literature review. JAAHA 25 (4), 430-434 VetMedResource.


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