Sternotomy Wound Closure

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چکیده

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Omental Herniation: A Rare Complication of Vacuum-Assisted Closure of Infected Sternotomy Wound

Vacuum-assisted closure (VAC) has recently been adopted as an acceptable modality for management of sternotomy wound infections. Although generally efficacious, the use of negative pressure devices has been associated with complications such as bleeding, retention of sponge, and empyema. We report the first case of greater omental hernia as a rare complication of vacuum-assisted closure of ster...

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Comparison of Primary Wound Closure with Vacuum Drainage and Delayed Closure in Perforated Appendicitis

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Topical vancomycin applied on closure of the sternotomy wound does not prevent high levels of systemic vancomycin.

OBJECTIVE Vancomycin is effective in reducing the risk of mediastinits and topical vancomycin has been hypothesised to give high local dose concentrations while avoiding high systemic levels, thus avoiding the risk of bacterial resistance to this second-line antibiotic. However, this theory has never been tested and the degree to which vancomycin is absorbed systemically is unknown. METHODS F...

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Fatigue testing of three peristernal median sternotomy closure techniques

BACKGROUND Failure of a sternotomy closure because of closure system fatigue is a complication that may result in dehiscence and put the individual at risk for serious complications. The purpose of this study was to assess the fatigue performance of three peristernal median sternotomy closure techniques (figure-of-eight stainless-steel wires, figure-of-eight stainless-steel cables, or Pectofix ...

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A biomechanical comparison of three sternotomy closure techniques.

BACKGROUND A biomechanical study of three sternotomy closure techniques (figure-of-eight stainless-steel wires, Pectofix Dynamic Sternal Fixation [DSF] stainless-steel plates, and figure-of-eight stainless-steel cables) was conducted to compare strength and stiffness variables in three clinically relevant loading modes (anterior-posterior shear, longitudinal shear, and lateral distraction). M...

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ژورنال

عنوان ژورنال: Plastic and Reconstructive Surgery - Global Open

سال: 2020

ISSN: 2169-7574

DOI: 10.1097/gox.0000000000002899