Skip to main content Accessibility help
×
Home
Hostname: page-component-59b7f5684b-s82fj Total loading time: 0.272 Render date: 2022-10-01T21:31:01.535Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "displayNetworkTab": true, "displayNetworkMapGraph": false, "useSa": true } hasContentIssue true

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*
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.

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.

Type
Original Manuscripts
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: 11381140.CrossRefGoogle ScholarPubMed
2. Laks, H, Hammond, G. A cosmetically acceptable incision for the medial stemotomy. J Thorac Cardiovasc Surg 1980; 79: 146149.Google 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: 787788.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: 892893.CrossRefGoogle ScholarPubMed
15
Cited by

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

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

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

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

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

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

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *