Comparison between the Effect of Vancomycin Paste and Traditional Bone Wax on Sternal Bleeding and Wound Healing after off Pump Coronary Artery Bypass Grafting Surgery

S.M.A Zulker Nine1, Farooque Ahmed2, Prasanta Kumar Chanda3, M. Quamrul Islam4,Kamrun Nahar5, Maj. Md. Mofijur Rahman Mia6, Subrata Gain7

Abstract

Background:
Bone wax is traditionally used to physically block blood from oozing out of the spongy bone of the cut sternal edges following median sternotomy to perform cardiac operations including CABG. Bone wax, it is still debated whether its use is beneficial or leads to various healing complications of the sternum like sternal wound infection, persistent post sternotomy pain and sternal instability. Use of
vancomycinpaste not only will arrest bleeding but also contribute significantly in reducing sternal wound infection. Present study was designed to see the impact of vancomycin paste over bone wax on sternal healing following off pump Coronary Artery Bypass Grafting with median sternotomy both clinically and radiologically.

 

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