Polydioxanone Suture for Sternal Closure in Pediatric Patients

H. Tahsin KEÇELİGİL, Ferşat KOLBAKIR, Rüştü KALAÇ, M. Kâmuran ERK

Ondokuz Mayıs Üniversitesi Tıp Fakültesi, Göğüs Kalp ve Damar Cerrahisi ABD, Samsun

Between 1987 and 1994, we applied a prospective study using absorbable loop sutures (polydioxanone [PDS]) for sternal closure in 92 consecutive patients. Mean age was 7.5 years (range 4 days to 16 years). The reason of sternotomy was Tetralogy of Fallot in 54 cases, ventricular septal defect in 10 cases, atrial septal defect in 28 cases, atrial septal defect+ventricular septal defect in 7 cases, atrial septal defect + pulmonary stenosis in 2 cases and cor triatriatum dexter in one case. No cases of sternal dehiscence were observed. Only two cases of sternal infection were observed. Over all perioperative mortality was 1.8%. Polydioxanone suture appears to be a safe alternative to steel wire closure in pediatric patients undergoing cardiac surgery.

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