Post-thoracotomy wound separation (DEHISCENCE): a disturbing complication
| Autor: | Melih Kaptanoglu, Ekber Şahin, Aydin Nadir, Hakan Sarzep |
|---|---|
| Přispěvatelé: | [Nadir, Aydin -- Kaptanoglu, Melih -- Sahin, Ekber -- Sarzep, Hakan] Cumhuriyet Univ, Sch Med Sivas, Dept Thorac Surg, Sivas, Turkey |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Thorax
Adult Male medicine.medical_specialty Adolescent Dehiscence medicine.medical_treatment Failure Necrosis Young Adult Surgical Wound Dehiscence Medicine Humans Surgical Wound Infection Local anesthesia Thoracotomy Aged Skin Suture Wound Healing lcsh:R5-920 Debridement business.industry Wound General Medicine Clinical Science Middle Aged medicine.disease Empyema Surgery Treatment Outcome Cardiothoracic surgery Anesthesia Female business Complication lcsh:Medicine (General) Negative-Pressure Wound Therapy |
| Zdroj: | Clinics, Vol 68, Iss 1, Pp 1-4 (2013) Clinics, Volume: 68, Issue: 1, Pages: 1-4, Published: JAN 2013 Clinics; v. 68 n. 1 (2013); 1-4 Clinics; Vol. 68 Núm. 1 (2013); 1-4 Clinics; Vol. 68 No. 1 (2013); 1-4 Clinics Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 1980-5322 1807-5932 |
| Popis: | WOS: 000314990200001 PubMed ID: 23420149 OBJECTIVES: We described the treatment of dehiscence of thoracotomy incisions in patients who underwent thoracic surgery in the present study. METHODS: Twenty-four patients with either partial or complete dehiscence of their thoracotomy incisions were included in the study from 2005 to 2010. The patients were evaluated regarding their age, sex, indication for thoracotomy, and surgical approaches. We also described our method of re-closure. RESULTS: The male/female ratio was 17/7. The youngest and oldest patients were 15 and 75 years old, respectively, and the mean age was 43 years. Among the indications for thoracotomy, empyema was the most common reason (determined in eight [33%] patients), followed by vertebral surgery (determined in six [25%] patients). Bacterial growth was detected in the wound site cultures from 13 (54%) patients. For the patients with dehiscence of their thoracotomy incisions, an en block approximation technique with debridement was performed under general or local anesthesia in 16 (66%) and eight (33%) of the cases, respectively. Three patients exhibited an open thorax with dehiscence of the thoracotomy incision. Thoracoplasty was required in two patients. Using this method, successful closure was obtained in 91.7% (n = 22) of the patients with dehiscence of their thoracotomy incisions. CONCLUSION: Dehiscence of the thoracotomy incision is an important complication that causes concern in patients and their thoracic surgeons and strongly affects the success of the surgery. An en block approximation technique with significant debridement that enables removal of the necrotic tissues from the wound site can successfully be applied to patients with dehiscence of their thoracotomy incisions. |
| Databáze: | OpenAIRE |
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