median sternotomy


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me·di·an ster·not·o·my

incision through the midline of the sternum, usually used to gain access to the heart, mediastinal structures, and great vessels.

median sternotomy

a chest surgery technique in which an incision is made from the suprasternal notch to below the xiphoid process. The sternum is then opened with a saw and a sternal retractor is inserted. Closure requires reunion of the sternum with stainless steel sutures. The procedure is used in coronary artery bypass and valve replacement operations. Compare anterolateral thoracotomy, posterolateral thoracotomy.
References in periodicals archive ?
Food and Drug Administration for use with implantation via median sternotomy, a common surgical approach in cardiac surgery which utilizes a vertical incision through the center of the patient's chest.
A retrospective consecutive cohort of 504 patients underwent cardiac surgery via median sternotomy from August 2009 through May 2011.
71 highlight the versatility of median sternotomy (MS) in dealing with children requiring treatment of penetrating mediastinal trauma, anterior and posterior mediastinal masses, acquired tracheo-oesophageal fistulas secondary to button battery impaction, bronchial foreign bodies and bilateral pulmonary metastases secondary to malignancy.
After median sternotomy, pericardial incision was performed, hemorrhagic effusion was evacuated, half of the sewing needle was removed from the right ventricle and then hemorrhagic wound was repaired by direct suture technique without cardiopulmonary bypass (Fig.
Sharma said that coronary artery bypass surgery performed on a beating heart on multiple vessels was routinely carried out through median Sternotomy, surgery in which a vertical (14-inch) inline incision is made along the flat chest bone.
Yuen JC, Zhou AT, Serafin D, Georgiade GS (1995) Long-term sequelae following median sternotomy wound infection and flap reconstruction.
Central venous (right atrium) and arterial (ascending aorta) cannulation is an option but requires median sternotomy.
Because of the extensive disease in the neck and mediastinum, the patient underwent a total thyroidectomy, bilateral neck dissection, tracheostomy, and median sternotomy with mediastinal node dissection (figure 2).
3) Most surgical incisions for this operation are performed by a median sternotomy.
Median sternotomy is the approach most commonly utilized as it allows for adequate exposure of the heart and great vessels and can be extended easily for a laparotomy if active bleeding is encountered.