Sternal cleft primary closure in the neonatal period
Date
2022-10-01Author
Type
Title alternative
Correction of sternal cleft in the neonatal period
Primary closure of a sternal cleft in the neonatal period
Abstract in Portuguese
Sternal cleft is a rare malformation of the midline fusion of the sternal bars; the most common form is the superior partial defect. Surgical correction with primary closure is the gold standard. It is recommended that the procedure be performed before 3 months of age because of the greater compliance and maximal flexibility of the thoracic wall. These features ensure a safer repair with a low risk of complications and allow for a less extensive procedure that does not require the use of addit ...
Sternal cleft is a rare malformation of the midline fusion of the sternal bars; the most common form is the superior partial defect. Surgical correction with primary closure is the gold standard. It is recommended that the procedure be performed before 3 months of age because of the greater compliance and maximal flexibility of the thoracic wall. These features ensure a safer repair with a low risk of complications and allow for a less extensive procedure that does not require the use of additional techniques. A midline incision is performed in the anterior thoracic wall, and the major pectoralis flaps are raised. The main surgical goal is to change the remaining sternum from a U to a V shape. Transfixing interrupted sutures are placed in the cartilaginous borders for midline closure. Hemodynamics and ventilation are monitored at this time. Closure is performed by layers. ...
Educational level
Educação Superior - Pós-Graduação
Educação Continuada ou Extensão
Treinamento ou Capacitação
Use orientation
To illustrate the technique for primary closure of an upper portion Sternal Cleft in the neonatal period.
Installation remarks
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Learning
resource type
Vídeo
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