INTRODUCTION Sternal dehiscence, sternal wound infection and mediastinitis are troublesome complications following median sternotomy which are major causes of morbidity and mortality of patients. Synthetic polydioxanone absorbable suture seems effective in prevention of these complications in children undergoing open heart surgery. METHODS During 2 years period, 620 patients who underwent med...

introduction: deep sternal wound infection is a rare but serious complication after cardiac surgery that can increase mortality and morbidity. the aim of this study was to investigate the incidence and causative germs of deep sternal wound infection following cardiac surgery.   methods: data were collected retrospectively from patients who underwent different cardiac surgeries including coronar...

Iodine-123 single photon emission computed tomography (SPECT) imaging of the thyroid was performed in two patients with multinodular goiter and swallowing difficulty to provide the functional and anatomic orientation of the goiter in relation to the airway. Transaxial slices showed the retrolaryngeal extension of the enlarged thyroid and the tracheal compression by the goiter in both patients. ...

The aim of the present study was to estimate the prevalence of goiter in schoolchildren in a formerly iodine-deficient region in southern Brazil by assessing the relationship between body surface area (m2 ) and thyroid volume (ml) measured by ultrasonography. A population-based sample of 1,094 randomly selected schoolchildren (6 to 14 years; 556 boys and 538 girls) underwent clinical evaluation...

Dehiscence of median sternotomy wounds remains a clinical problem. Wall forces in thin-walled pressure vessels can be calculated by membrane stress theory. An ellipsoid pressure vessel model of sternal forces is presented together with its application for optimal wire placement in the sternum. Sternal forces were calculated by computational simulation using an ellipsoid chest wall model. Sterna...

Epidemiology Goiter: In iodine-deficient areas, goiter prevalence may be as high as 80%. After correction of iodine deficiency, prevalence decreases slowly over a generation’s time to but not below a few per cent. In iodine-sufficient areas, cross-sectional studies showed a decline in frequency of diffuse goiter and, in contrast, an increase of thyroid nodules and thyroid antibodies with age. F...

OBJECTIVE The diagnosis and treatment of sternal wound infections with mycobacteria are challenging. Such an infection is often associated with a delayed diagnosis and improper treatment that may lead to a worsened clinical outcome. The present study is designed to highlight its clinical features so as to facilitate a prompt diagnosis and timely treatment. METHODS MEDLINE, Highwire Press, and...

BACKGROUND Median sternotomy infection and bony nonunion are two commonly described complications which occur in 0.4-5.1% of cardiac procedures. Although relatively infrequent, these complications can lead to significant morbidity and mortality. The aim of this retrospective study is to evaluate the initial experience of a transverse plate fixation system following wound complications associate...

a three day old neonate was referred to our department with a problem of a sternal cleft. sternal clefts are often associated with a myriad of other abnormalities ranging from mild to severe. we present our experience with such a problem, and review the current literature concerning it.