Negative pressure wound therapy for sternal wound infections

被引：1

作者：

Szabo A.K. ^{[1
]}

Hamouda K. ^{[1
]}

Bening C. ^{[1
]}

Radakovic D. ^{[1
]}

Magyar A. ^{[1
]}

Leyh R. ^{[1
]}

Schimmer C. ^{[1
]}

机构：

[1] Klinik und Poliklinik für Thorax-, Herz- und Thorakale Gefäßchirurgie, Universitätsklinikum Würzburg, Zentrum Operative Medizin, Oberdürrbacher Str. 6, Würzburg

来源：

Zeitschrift für Herz-,Thorax- und Gefäßchirurgie | 2017年 / 31卷 / 3期

关键词：

Bleeding; Median sternotomy; Mediastinitis; Surgical procedures; Wound healing;

D O I：

10.1007/s00398-017-0152-3

中图分类号：

学科分类号：

摘要：

Midline sternotomy is the standard access route used in cardiac surgery. Nevertheless, this access route is not without complications. These can be non-infection- (such as mechanical instability of the sternum) or infection-related (superficial or deep sternal wound infection [DSWI]) and occur at an incidence of 2%–5%. Deep sternal wound infections are associated with a significant morbidity and mortality rate of between 10% and 40%. Best results in the treatment and management of DSWI can be accomplished by early surgical revision and debridement followed by temporary application of negative pressure wound therapy (NPWT). The surgical approach using NPWT provides several advantages in the treatment of DSWI by promoting granulation and local circulation, reducing existing edema, and removing excess exudate from the wound. The aim here is to transform the wound from exudative to granulation tissue. If the wound is free of necrosis and infection, the technique of secondary wound closure will be selected. In addition to surgical therapy, optimal microbiological strategies in tissue sample asservation and antibiotic treatment play a supportive role of great importance. Acute cardiac or vascular bleeding represents the most feared complication of NPWT. © 2017, Springer Medizin Verlag GmbH.

引用

页码：161 / 168

页数：7

共 17 条

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