Abstract: Midline sternotomy is established as the gold standard for variety of open heart operations. Sternal dehiscence after the operation is recognized devastating complication. The established closure technique uses steel wires in either figure 8 or simple interrupted suturing methods. In this typical technique, the steel wires are pushed across the each half of sternum. However peristernal and pericostal placement appears to reduce sternal damage, many surgeons use trans-sternal figure 8 wires for sternal fixation. In this study we have compare between peristernal and trans-sternal wiring. 50 cases selected prospectively. Fifty patients undergoing elective cardiac surgery via complete median sternotomy at a single institution were randomly assigned. The groups were well matched........
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