Fig. 2

How to perform sternal closure with sandwiched three-piece mesh plate. A) The first mesh plate is threaded through the holes on the plate with the first manubrium wire. B) The second mesh plate is threaded through the holes with the third parasternal wire. C) The sternum is closed with six wires; two transsternal wires at the manubrium and four parasternal wires at the sternal body. D) When the sternum is closed, two mesh plates are implanted on the posterior side of the sternum. E) When closing the wire, the silk is towed so that the mesh plate fits on the posterior side of the sternum. F) The chest is closed using three mesh plates with the sternum sandwiched in between, with two mesh plates located posteriorly and another anteriorly