Vacuum-assisted closure for pediatric post-sternotomy mediastinitis: Are low negative pressures sufficient?

被引：29
作者：
Kadohama, Takayuki
Akasaka, Nobuyuki
Nagamine, Akira
Nakanishi, Keisuke
Kiyokawa, Keiko
Goh, Kazutomo
Sasajima, Tadahiro
机构：
[1] Asahikawa Med Univ, Dept Surg, Asahikawa, Hokkaido, Japan
[2] Asahikawa Med Univ, Dept Emergency Med, Asahikawa, Hokkaido, Japan
来源：
ANNALS OF THORACIC SURGERY | 2008年 / 85卷 / 03期
关键词：
D O I：
10.1016/j.athoracsur.2007.09.004
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We present 3 cases of pediatric post-sternotomy mediastinitis treated by a vacuum-assisted closure (VAC). The patients 2 girls, aged 6 months and 10 months, and a 2-year-old boy. The onset of infection was at 9, 14, and 32 postoperative days. The culture examination detected coagulase-negative Staphylococci strains in 2 cases, and Staphylococcus aureus in 1 case. A VAC was performed at -50 mm Hg for 10, 12, and 7 days. The wounds were closed without vascularized soft tissue. A VAC under a low negative pressure is a useful and safe procedure for the management of pediatric post-sternotomy mediastinitis.
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收藏
页码：1094 / 1096
页数：4
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