Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-23T04:34:45.915Z Has data issue: false hasContentIssue false
  • English
  • Français

Lower mid-line skin incision and minimal sternotomy—a more cosmetic challenge for pediatric cardiac surgery

Published online by Cambridge University Press:  19 August 2008

Hiroyoshi Komai ,
Yasuaki Naito ,
Keiichi Fujiwara ,
Yusaku Takagaki ,
Yoshiharu Nishimura ,
Sadao Kawasaki  and
Takako Nakamura
Hiroyoshi Komai*
Affiliation:
From the Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College, Wakayama
Yasuaki Naito
Affiliation:
From the Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College, Wakayama
Keiichi Fujiwara
Affiliation:
From the Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College, Wakayama
Yusaku Takagaki
Affiliation:
From the Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College, Wakayama
Yoshiharu Nishimura
Affiliation:
From the Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College, Wakayama
Sadao Kawasaki
Affiliation:
From the Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College, Wakayama
Takako Nakamura
Affiliation:
From the Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College, Wakayama
*
Dr. Hiroyoshi Komai, Department of Thoracic and Cardiovascular Surgeiy, Wakayama Medical College, 27, 7-bancho, Wakayama 640, Japan. Tel. 81-734-26-8251; Fax. 81-734-33-9345.
Get access Rights & Permissions [Opens in a new window]

Abstract

We performed ten operations in children using a lower mid-line incision and limited minimal sternotomy. The skin incision is made from the level of nipples to the lower end of the xiphoid process, and only the body of the sternum is cut vertically. There was neither operative mortality nor complications. The upper limit of the scar was, at the most, 1 cm beyond the level of the nipples, and was difficult to observe in typical open-necked shirts. We believe our method is suitable in fulfilling the cosmetic needs for eligible children.

Keywords

Pediatric cardiac surgerycosmetic skin incision
Type
Original Manuscripts
Information
Cardiology in the Young , Volume 6 , Issue 1 , January 1996 , pp. 76 - 79
Copyright
Copyright © Cambridge University Press 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Rosengart, TK, Stark, JF. Repair of atrial septal defect through a right thoracotomy. Ann Thorac Surg 1993; 55: 1138–1140.CrossRefGoogle ScholarPubMed
2. Laks, H, Hammond, G. A cosmetically acceptable incision for the medial stemotomy. J Thorac Cardiovasc Surg 1980; 79: 146–149.CrossRefGoogle Scholar
3. Tatebe, S, Eguchi, S, Miyamura, H, Nakasawa, S, Watanabe, H, Sugawara, M, Hayashi, J, Date, K, Nakagawa, S. Limited vertical skin incision for median sternotomy. Ann Thorac Surg 1992; 54: 787–788.CrossRefGoogle ScholarPubMed
4. Wilson, WR Jr, Ilbawi, MN, DeLeon, SY, Piccione, W, Tubes-zewski, K, Cutilletta, AF. Partial median sternotomy for repair of heart defects: a cosmetic approach. Ann Thorac Surg 1992; 54: 892–893.CrossRefGoogle ScholarPubMed