| Autor: |
Chen, Y., Almeida, A. A., Mitnovetski, S., Goldstein, J., Lowe, C., Smith, J. A. |
| Předmět: |
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| Zdroj: |
ANZ Journal of Surgery; May2007 Supplement, Vol. 77, p10-10, 1p |
| Abstrakt: |
Purpose Deep sternal wound infection is a rare but serious complication of cardiac surgery. Currently there is no consensus on the optimal management. Vacuum Assisted Closure (V.A.C.) has been increasingly used to facilitate wound healing. We aim to review the management of deep sternal wound infections using V.A.C. dressing at our hospital. Methodology 31 consecutive deep sternal wound infections over a five year period were reviewed. V.A.C. dressing was used either as a stand alone therapy or as an intermediate therapy to late sternal reconstruction. Results Deep sternal wound infections were diagnosed on average 13 days from initial surgery. 26 (84%) patients were treated with V.A.C. dressing. Of these, 17 (65%) had stand alone V.A.C. therapy and 9 were followed by sternal reconstruction. The average duration of V.A.C dressing in the two groups were 21 and 13 days respectively. 7 patients died, 6 in the stand alone V.A.C. group and 1 in the intermediate V.A.C. group. The length of hospital stay was similar in both groups (41 vs. 45 days). Median follow up was 17 months. No late relapse was found in the stand alone group. In the intermediate therapy group, 2 patients had chronic wound sinuses and one patient had a wound collection. Conclusion V.A.C. dressing may be used both as a stand alone and as an intermediate therapy for deep sternal wound infection. Reconstructive surgery may be avoided in a significant proportion of patients. No late relapse has been associated with V.A.C. use. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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