Sternal wrapping: developments and results
| Autor: | Diego Magnano, Francesco Massi, Carlo Aratari, Mauro Lamarra, Filippo Capestro, Alexander Manche |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty animal structures Time Factors Sternum Bone wax Blood Loss Surgical Surgical Wound Dehiscence Postoperative Complications Risk Factors Medicine Humans Surgical Wound Infection Blood Transfusion cardiovascular diseases Hospital Mortality Cardiac Surgical Procedures Aged Wound Healing business.industry Hemostatic Techniques Osteomyelitis General Medicine Middle Aged musculoskeletal system medicine.disease Wound infection Mediastinitis Sternotomy Surgery body regions surgical procedures operative medicine.anatomical_structure Treatment Outcome Cardiac Surgery procedures Italy Hemostasis Female Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Asian cardiovascularthoracic annals. 21(3) |
| ISSN: | 1816-5370 |
| Popis: | Background: Postoperative sternal wound complications are infrequent events that negatively affect recovery and may have serious consequences. Sternal wrapping, a technique of sternal care, has hemostatic properties without bone wax, and offers mechanical and microbiologic protection. Methods: From February 1998 to December 2011, 258 patients in 2 Italian institutions underwent various cardiac surgery procedures with sternal wrapping in place, and were followed up for no less then 6 months. Results: Two (0.8%) extremely compromised patients with ischemic sternal osteonecrosis and deep sternal wound infection required a sternal stabilizing procedure. Four (2%) other patients developed sternal wound complications that were treated entirely medically; 3 of them were very trivial, and 1 was an atypical mediastinitis without sternal involvement. Overall, 46.1% of patients (45.3% of isolated coronary artery bypass, 49.3% of isolated on-pump coronary artery bypass, and 18.2% of off-pump coronary artery bypass patients) were transfused. None of the complications was related to sternal wrapping, bleeding from the sternal edge, or sternal wound problems. Conclusions: Sternal wrapping showed a very low incidence and severity of sternal wound complications, with good prevention of sternal osteomyelitis. Hemostatic properties were satisfactory, with transfusion rates within an acceptable range. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|