Economic aspects of deep sternal wound infections☆

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Management of deep sternal wound infections; placed in perspective!

[1] van Wingerden JJ, Lapid O, Boonstra PW, de Mol BAJM. Muscle flaps or omental flap in the management for deep sternal wound infection. Interact CardioVasc Thorac Surg 2011;13:179–188. [2] Matros E, Aranki SF, Bayer LR, McGurk S, Neuwalder J, Orgill DP. Reduction in incidence of deep sternal wound infections: random or real? J Thorac Cardiovasc Surg 2010;139:680–685. [3] Raja SG, Berg GA. Sho...

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Negative microbiological results are not mandatory in deep sternal wound infections before wound closure.

OBJECTIVES To define the outcome of treatment for deep sternal wound infections (DSWIs) using direct wound closure (DC) or vacuum-assisted therapy (VAT) based on negative vs. positive microbiological results. METHODS Between 1999 and 2008, 7746 patients underwent median sternotomy for cardiac surgery at our institution. Patients were screened for DSWI and out of the cohort 159 were identified...

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Delayed Presentation of Deep Sternal Wound Infection

Deep sternal wound infections (DSWI) are infections of the sternum, mediastinum, or the muscle, fascia and soft tissue that overlie the sternum, typically occurring within a month of cardiac surgery. They are infrequent though severe complications of cardiac surgery. Diagnosis is made by the clinical presentation of fever, chest pain, or sternal instability in the setting of wound drainage, pos...

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Negative-pressure wound therapy for deep sternal wound infections reduces the rate of surgical interventions for early re-infections.

OBJECTIVES To evaluate the outcome of treatment for deep sternal wound infection (DSWI) in a nationwide patient cohort, before and after the introduction of negative-pressure wound therapy (NPWT). METHODS This was a population-based cohort of all patients treated for DSWI in Iceland out of 2446 open heart operations performed between 2000 and 2010. Length of hospital stay, survival and reoper...

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Deep sternal wound infection after cardiac surgery

BACKGROUND Deep sternal wound infection (DSWI) is a serious postoperative complication of cardiac surgery. In this study we investigated the incidence of DSWI and effect of re-exploration for bleeding on DSWI mortality. METHODS We reviewed 73,700 cases registered in the Japan Adult Cardiovascular Surgery Database (JACVSD) during the period from 2004 to 2009 and divided them into five groups: ...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2010

ISSN: 1010-7940

DOI: 10.1016/j.ejcts.2009.10.005