Is sternal rewiring mandatory in surgical treatment of deep sternal wound infections?
نویسندگان
چکیده
منابع مشابه
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...
متن کاملSuction-irrigation drainage: an underestimated therapeutic option for surgical treatment of deep sternal wound infections.
OBJECTIVES Deep sternal wound infections are significant and severe complications following cardiac surgery and substantially influence perioperative morbidity and mortality. We present the experience of our department using two different surgical treatments over a three-year period. METHODS Between January 2009 and December 2011, a total of 3274 cardiac procedures with complete median sterno...
متن کاملManagement 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...
متن کاملEditorial comment: Re: Negative microbiological results are not mandatory in deep sternal wound infections before wound closure.
Dr T. Elenbaas (Eindhoven, Netherlands): Your paper tries to answer a very important question. You only have 2% deep sternal wound infections, which I think is very good, and even better is your outcome after treatment, the overall mortality being only 3.1%. Now, back to the topic of this presentation. Although I agree with the conclusion , I was wondering why you combined those two groups. As ...
متن کاملDelayed 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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ژورنال
عنوان ژورنال: Journal of Thoracic Disease
سال: 2018
ISSN: 2072-1439,2077-6624
DOI: 10.21037/jtd.2018.03.166