CTSNet Step-by-Step Series: Midline Sternotomy

A very helpful video. Thank you for the effort

Sometimes we give these steps known and it is not always so, thank you for the technical description step by step.

Thanks a lot . It was quite informative.

Nice work, but keep in mind where and with whom you train in how to stay in midline of the body of the sternum. Identifying the intercostal spaces with bovie in each side of the body at the 3rd space is paramaount. The half way distance is where the saw should pass in order to maintain perfection. This will help in better wound healing, hemisterum approximation, prevent iatrogenic fractures especially in osteoporotic breastbones.

Using cautery to make the incision predisposes to tissue damage and infection.Cautery can be used (lowest power of pure coagulation current) for point hemostasis. Midline is best determined by the decussation of the pectoral muscles.

A gut rewiew

useful video for beginners. excellent presentation of the steps of procedure