Volume 6, Issue 2, December 2018, Page: 62-66
Full or Half-Thickness Continuous Suture for Right Atrium Incision in Adult Patients Undergoing Open Cardiac Surgery: the Practical Strategy to Reduce Incision Bleeding
Qing-Chun Zhang, Department of Cardiac Surgery, the First Affiliated Hospital to University of Science and Technology of China, Hefei, China
Hai-Hui Yin, Department of Cardiac Surgery, the First Affiliated Hospital to University of Science and Technology of China, Hefei, China
Jian-An Li, Department of Cardiac Surgery, the First Affiliated Hospital to University of Science and Technology of China, Hefei, China
Hong Lei, Department of Cardiac Surgery, the First Affiliated Hospital to University of Science and Technology of China, Hefei, China
Jian-Jun Ge, Department of Cardiac Surgery, the First Affiliated Hospital to University of Science and Technology of China, Hefei, China
Received: Jun. 4, 2018;       Accepted: Aug. 27, 2018;       Published: Oct. 10, 2018
DOI: 10.11648/j.ass.20180602.14      View  283      Downloads  10
Abstract
Objective The aim of this study was to evaluate the beneficial effects and applicability of a half-thickness continuous suture outside the pectinate muscles used in the right atrial incision for adult patients undergoing cardiac surgery by cardiopulmonary bypass. Methods A total of 1040 consecutive adult patients undergoing cardiac surgery through a right atrium incision during the period of January 2010 to June 2014 were randomly allocated to the experimental group (n=522) and the control group (n=518). In the experimental group, a half-thickness continuous suture outside the pectinate muscles was used to close the right atrium incision, while the traditional method of a continuous full-thickness everting suture was used in the control group. The occurrences of bleeding spots in the right atrium sutures were recorded prior to the pericardial closure procedure. Results The occurrence rates of intra-operative bleeding from the atrial incision site for the experimental group were significantly lower than that in the control group (46 vs. 253 patients needed re-stitch procedures for the right atrial incision respectively, p=0.001). In the control group, two cases of re-exploration due to post-operative bleeding in the right atrial incision occurred, while none occurred in the experimental group. Conclusions The half-thickness continuous suture outside the pectinate muscles for closing right atrium incisions could effectively reduce the need for re-stitch procedures, as well as minimize the risks of bleedings for patients undergoing cardiac surgeries.
Keywords
Right Atrium Closure, Pectinate Muscles, Suturing, Bleeding, Cardiac Surgery
To cite this article
Qing-Chun Zhang, Hai-Hui Yin, Jian-An Li, Hong Lei, Jian-Jun Ge, Full or Half-Thickness Continuous Suture for Right Atrium Incision in Adult Patients Undergoing Open Cardiac Surgery: the Practical Strategy to Reduce Incision Bleeding, Advances in Surgical Sciences. Vol. 6, No. 2, 2018, pp. 62-66. doi: 10.11648/j.ass.20180602.14
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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