{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T05:19:07Z","timestamp":1736918347983,"version":"3.33.0"},"reference-count":0,"publisher":"European Association of Cardiothoracic Surgery (EACTS Publishing Ltd)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MMCTS"],"published-print":{"date-parts":[[2025,1,14]]},"abstract":"<jats:p>With the increase of patients with adult congenital heart disease, the number of high-risk multiple redo sternotomies is increasing. Calcified conduit embedded in the sternum or large vessels attached to the sternum presents an especially challenging case. This video tutorial presents a simple safe redo sternotomy technique using an ultrasonic bone scalpel in such high-risk patients. The ultrasonic bone scalpel has a narrow cutting blade that oscillates longitudinally. Because the movements of the blade have a much smaller amplitude and faster speed than those of the usual saw, making a precise cut is possible when holding the ultrasonic bone scalpel onto the bone, and soft tissue can be dissected out with a quick touch. A narrow blade can shave the sternum on the conduit when the layer between the sternum is identified. A lack of understanding of the character of the ultrasonic bone scalpel often limits its potential. This video tutorial demonstrates the key techniques of the fine manipulation of the blade: \u201chold\u2013quick touch\u2013shave\u201d for the effective and safe use of an ultrasonic bone scalpel.<\/jats:p>","DOI":"10.1510\/mmcts.2023.034","type":"journal-article","created":{"date-parts":[[2025,1,14]],"date-time":"2025-01-14T11:09:39Z","timestamp":1736852979000},"source":"Crossref","is-referenced-by-count":0,"title":["Simple and safe redo sternotomy technique using the ultrasonic bone scalpel for patients with an embedded calcified conduit"],"prefix":"10.1510","member":"10966","published-online":{"date-parts":[[2025,1,14]]},"container-title":["Multimedia Manual of Cardio-Thoracic Surgery"],"original-title":[],"deposited":{"date-parts":[[2025,1,14]],"date-time":"2025-01-14T11:09:40Z","timestamp":1736852980000},"score":1,"resource":{"primary":{"URL":"https:\/\/mmcts.org\/tutorial\/1971"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,14]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1510\/mmcts.2023.034","relation":{},"ISSN":["1813-9175"],"issn-type":[{"value":"1813-9175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,14]]}}}