Tạp chí Tim mạch học Việt Nam

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NGHIÊN CỨU LÂM SÀNG Issue: Số 113 BỆNH VAN TIM

The result of applying a sternum support belt in patients who underwent mitral valve replacement surgery through the sternum approach at the Department of Thoracic Surgery – Bach Mai Hospital during the period of 2022 – 2023

Lê Thanh Tùng: Bệnh viện Bạch Mai; Nguyễn Thị Duyên: Bệnh viện Bạch Mai; Phạm Trần Linh: Viện Tim mạch Việt Nam, Bệnh viện Bạch Mai; Nguyễn Ngọc Quang: Viện Tim mạch Việt Nam, Bệnh viện Bạch Mai; Trần Thị Nguyện: Bệnh viện Bạch Mai; Trần Thị Hiền: Bệnh viện Bạch Mai; Nguyễn Thị Hồng Nhung: Bệnh viện Bạch Mai;
Published: March 14, 2025
Views: 138
DOI 10.58354/jvc.113.2025.895

Abstract

Objective: To evaluate the results of using a sternum support belt in patients after mitral valve replacement surgery through the median sternotomy approach.

Method: A descriptive study was conducted on patients who used a sternum fixation belt after undergoing mitral valve replacement surgery via median sternotomy from 2022 to 2023 at the Cardiovascular Surgery Unit – Institute of Cardiology – Bach Mai Hospital.

Results: From October 2022 to October 2023, 40 patients were randomly divided into two groups: one group (A) did not use the sternum support belt, and the other group (B) did. The study showed a significant improvement in pain reduction after surgery in group B compared to group A.

Discussion: The use of a sternum support belt is a simple, cost-effective, and easy-to-implement measure that provides significant positive effects in reducing post-surgical pain, thereby improving treatment outcomes and the quality of life for patients.

References

1.
King KM, McFetridge-Durdle J, LeBlanc P, et al. A descriptive examination of the impact of sternal scar formation in women. Eur J Cardiovasc Nurs. 2009;8(2):112-118. doi:10.1016/j.ejcnurse.2008.08.001
2.
Kańtoch MJ, Eustace J, Collins-Nakai RL, et al. The significance of cardiac surgery scars in adult patients with congenital heart disease. Kardiol Pol. 2006;64(1):51-58.
3.
Laurikka JO, Toivio I, Tarkka MR. Effects of a novel pneumatic vest on postoperative pain and lung function after coronary artery bypass grafting. Scand Cardiovasc J. 1998;32(3):141-144. doi:10.1080/14017439850140094
4.
Meisler P. The sternum support harness for the treatment of sternotomy pain and the prevention of sternal instability. Cardiopulmonary PhysTher J. 2003.
5.
El-Ansary D, Waddington G, Adams R. Control of separation in sternal instability by supportive devices: a comparison of an adjustable fastening brace, compression garment, and sports tape. Arch Phys Med Rehabil. 2008;89(9):1775-1781. doi:10.1016/j.apmr.2008.01.025
6.
Gorlitzer M, Folkmann S, Meinhart J, et al. A newly designed thorax support vest prevents sternum instability after median sternotomy. Eur J Cardiothorac Surg. 2009;36(2):335-339. doi:10.1016/j.ejcts.2009.01.038
7.
Gorlitzer M, Wagner F, Pfeiffer S, et al. A prospective randomized multicenter trial shows improvement of sternum related complications in cardiac surgery with the Posthorax support vest. Interact Cardiovasc Thorac Surg. 2010;10(5):714-718. doi:10.1510/icvts.2009.223305
8.
Gorlitzer M, Wagner F, Pfeiffer S, et al. Prevention of sternal wound complications after sternotomy: results of a large prospective randomized multicentre trial. Interact Cardiovasc Thorac Surg. 2013;17(3):515-522. doi:10.1093/icvts/ivt240
9.
Celik S, Kirbas A, Gurer O, et al. Sternal dehiscence in patients with moderate and severe chronic obstructive pulmonary disease undergoing cardiac surgery: the value of supportive thorax vests. J Thorac Cardiovasc Surg. 2011;141(6):1398-1402. doi:10.1016/j.jtcvs.2011.01.042
10.
Klement A, Herrmann M. Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report. J Med Case Rep. 2010;4:266. doi:10.1186/1752-1947-4-266
11.
Tewarie LS, Menon AK, Hatam N, et al. Prevention of sternal dehiscence with the sternum external fixation (Stern-E-Fix) corset--randomized trial in 750 patients. J Cardiothorac Surg. 2012;7:85. doi:10.1186/1749-8090-7-85

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Section NGHIÊN CỨU LÂM SÀNG
Issue Số 113
Category BỆNH VAN TIM

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