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All Journal Sriwijaya Journal of Surgery
Alif Arfiansyah Kartono
Specialized Residency Training of Surgery, Department of Surgery, Faculty of Medicine, Universitas Sriwijaya/Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia
Medicine & Pharmacology

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Comparison of Sternum Approximation Stability Using Stainless Steel Wire with Polydioxanone (PDS) Alif Arfiansyah Kartono; Gama Satria; Erial Bahar
Sriwijaya Journal of Surgery Vol. 5 No. 2 (2022): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v5i2.79

Abstract

Background: The median sternal incision is an incision that is commonly done in heart surgery and vascular surgery. The existing techniques need elaboration and innovation to produce a method with an optimal level of healing effectiveness accompanied by a minimal risk of side effects. This study aims to determine the difference between sternal approximation using stainless steel wire compared to polydioxanone (PDS) based on biomechanical analysis. Methods: This was an in vitro experimental study using the sternum of a goat. A total of 24 sternums were divided into 6 treatment groups. Data analysis was performed with SPSS version 20. Univariate and bivariate analyzes were performed to compare the sternal approximation between stainless steel wire and PDS. Results: The use of PDS showed a higher average increase in transverse and longitudinal approximations compared to the use of stainless steel wire and was statistically different, p<0.05. PDS does not differ from stainless steel wire in lateral approximation. Conclusion: Stainless steel wire is more optimal in maintaining sternal stability than PDS based on biomechanical tests.
Co-Authors Erial Bahar Gama Satria