Sternal reconstruction after post-sternotomy mediastinitis
نویسندگان
چکیده
منابع مشابه
Sternal reconstruction after post-sternotomy mediastinitis
BACKGROUND Deep sternal wound complications are uncommon after cardiac surgery. They comprise sternal dehiscence, deep sternal wound infections and mediastinitis, which will be treated as varying expressions of a singular pathology for reasons explained in the text. METHODOLOGY AND REVIEW This article reviews the definition, prevalence, risk factors, prevention, diagnosis, microbiology and ma...
متن کاملPost-sternotomy mediastinitis after cardiac surgery
Post-sternotomy mediastinitis (PSM) is a rare but devastating complication, which may occur after cardiac surgery, and which increases mortality and morbidity tremendously. This study showed a statistically significant increased in-hospital mortality of patients with deep sternal wound infection (DSWI) compared with patients without DSWI (8.1% versus 2.7%, respectively) (p=0.03). For long-term ...
متن کاملeComment. Post-sternotomy mediastinitis management: negative pressure is the key.
I read with great interest the paper by Yu et al. in which they compare outcomes of vacuum-assisted closure (VAC) therapy with conventional management in patients with post-sternotomy mediastinitis (PSM) [1]. There is no general consensus concerning the appropriate surgical approach to PSM and multiple wound healing strategies have been proposed [2]. The treatment of PSM has changed radically w...
متن کاملSternal Wound Reconstruction With Omental Flap for Poststernotomy Mediastinitis
Figure 1. Mediastinal defect with exposed pros-thetic aortic root graft. DESCRIPTION A 70-year-old woman with short stature and hypermastia underwent ascending aortic aneurysm repair with a prosthetic graft, complicated by postoperative mediastinitis and sternal dehiscence. She was treated with aggressive sternal debridement and negative pressure wound therapy for 1 week (Fig 1) prior to defini...
متن کاملStaphylococcus aureus mediastinitis and sternal osteomyelitis following median sternotomy in a rat model.
OBJECTIVES Median sternotomy (MS) wound infections are severe complications causing high morbidity and mortality after cardiac surgery. We aimed to develop a new Staphylococcus aureus mediastinitis and sternal osteomyelitis model in rats that can be used to evaluate the efficacy of new antimicrobial treatments. METHODS AND RESULTS A complete MS wound was induced in anaesthetized rats. S. aure...
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ژورنال
عنوان ژورنال: Journal of Cardiothoracic Surgery
سال: 2017
ISSN: 1749-8090
DOI: 10.1186/s13019-017-0656-7