The effect of skeletonization of the left internal thoracic artery on rates of sternal wound infection : experience at queen alia heart institute
المؤلفون المشاركون
Harahishah, Basel
Abu Nawar, Layth
Hiyasat, Bahi
المصدر
Journal of the Royal Medical Services
العدد
المجلد 15، العدد 3 (31 ديسمبر/كانون الأول 2008)، ص ص. 41-45، 5ص.
الناشر
الخدمات الطبية الملكية الأردنية
تاريخ النشر
2008-12-31
دولة النشر
الأردن
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Objectives: To study whether skeletonization of the internal thoracic artery has any beneficial effects on the rate of sternal wound infection after Coronary Artery Bypass Surgery and to compare this with the results of the classical pedicled form.
Methods: A total of 212 patients were reviewed between October 2005 and February 2006 and divided into two groups according to the method of harvesting the left internal thoracic artery.
Group I comprised 158 patients, 102 males and 56 females with a mean age of 59±2 years.
Group II comprised 54 patients, 41 males and 13 females with a mean age of 57±2 years.
In group I, the Left Internal Thoracic Artery was harvested in the classical pedicle form (preserving the vasa vasorum, venous drainage) using cautery and clips.
In group II another method of harvesting was adopted using forceps and scissors and depriving the Left Internal Thoracic Artery from all the accompanying structures.
Results: The overall rate of sternal wound infection was 9.5% in Group I and 3.7% in group II (P<0.05).In Group I, 10 males and five females were infected (males 9.8% and females8.9%) while in group II only two male patients were infected.
Conclusion: Harvesting the Left Internal Thoracic Artery in the skeletonized form takes longer time and is more difficult to do due to our developing learning curve; nonetheless it has a beneficial effect on decreasing the rate of sternal wound infection.
The overall outcome was improved but other issues such as the overall patency and post operative pain should be studied more thoroughly.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Hiyasat, Bahi& Harahishah, Basel& Abu Nawar, Layth. 2008. The effect of skeletonization of the left internal thoracic artery on rates of sternal wound infection : experience at queen alia heart institute. Journal of the Royal Medical Services،Vol. 15, no. 3, pp.41-45.
https://search.emarefa.net/detail/BIM-120380
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hiyasat, Bahi…[et al.]. The effect of skeletonization of the left internal thoracic artery on rates of sternal wound infection : experience at queen alia heart institute. Journal of the Royal Medical Services Vol. 15, no. 3 (Dec. 2008), pp.41-45.
https://search.emarefa.net/detail/BIM-120380
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Hiyasat, Bahi& Harahishah, Basel& Abu Nawar, Layth. The effect of skeletonization of the left internal thoracic artery on rates of sternal wound infection : experience at queen alia heart institute. Journal of the Royal Medical Services. 2008. Vol. 15, no. 3, pp.41-45.
https://search.emarefa.net/detail/BIM-120380
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 44-45
رقم السجل
BIM-120380
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر