A new classification of post-sternotomy dehiscence.

Autor:	Anger J; Dante Pazzanese Institute of Cardiology of São Paulo, São Paulo, SP, Brazil., Dantas DC; Dante Pazzanese Institute of Cardiology of São Paulo, São Paulo, SP, Brazil., Arnoni RT; Dante Pazzanese Institute of Cardiology of São Paulo, São Paulo, SP, Brazil., Farsky PS; Dante Pazzanese Institute of Cardiology of São Paulo, São Paulo, SP, Brazil.
Jazyk:	angličtina
Zdroj:	Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular [Rev Bras Cir Cardiovasc] 2015 Jan-Mar; Vol. 30 (1), pp. 114-8.
DOI:	10.5935/1678-9741.20140033
Abstrakt:	The dehiscence after median transesternal sternotomy used as surgical access for cardiac surgery is one of its complications and it increases the patient's morbidity and mortality. A variety of surgical techniques were recently described resulting to the need of a classification bringing a measure of objectivity to the management of these complex and dangerous wounds. The different related classifications are based in the primary causal infection, but recently the anatomical description of the wound including the deepness and the vertical extension showed to be more useful. We propose a new classification based only on the anatomical changes following sternotomy dehiscence and chronic wound formation separating it in four types according to the deepness and in two sub-groups according to the vertical extension based on the inferior insertion of the pectoralis major muscle.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu