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 ?
All participants had isolated coronary artery bypass grafting through a median sternotomy approach between April 1997 and May 2001.
He continued by saying, "Overall, the study suggests that the use of ON-Q therapy may aid in the recovery of pediatric patients undergoing open heart surgery via a median sternotomy incision by reducing the need for intravenous or oral analgesia [pain medication] and sedation.
In the operating room median sternotomy was performed followed by pericardiotomy and removal of blood clots along with posteriorly lying bullet.
Median sternotomy (MS) is the most common incision made in cardiac surgery; however, it is rarely performed or required by general paediatric surgeons.
The tumor was successfully resected via a left lateral thoracotomy and a median sternotomy.
On surgery, median sternotomy was done, and the cyst was found to be situated on the right ventricle under the pericardium (Fig.
Sternal instability, dehiscence, and mediastinitis following median sternotomy have an incidence rate of 0.
Surgical access was by median sternotomy with the trachea exposed down to the carina.
Sternal dehiscence is an uncommon complication of median sternotomy occurring in approximately 3% to 5% of patients.