A conclusion from the first 125 patients treated with the vacuum assisted closure system for postoperative sternal wound infection
作者： Tatjana Fleck , Reinhard Moidl , Pietro Giovanoli , Oscar Aszmann , Anna Bartunek
DOI: 10.1510/ICVTS.2005.122804
关键词: Wound infection 、 Medicine 、 Sternum 、 Anesthesia 、 Muscle flap 、 Debridement 、 Surgery 、 Wound closure 、 In patient 、 Sternal infection 、 Vacuum assisted closure 、 Pulmonary and Respiratory Medicine 、 Cardiology and Cardiovascular Medicine
摘要: Consensus exists that early recognition of sternal wound infection is crucial to prevent involvement and destruction the bone, which prohibits secondary closure necessitates use muscle flaps for closure. Since November 2001 September 2005, 125 patients received a VAC system after surgical debridement. Thirty-eight had superficial (2A) 87 deep (2B). From those, 59 underwent therapy, whereas 28 needed flap The time diagnosis great impact on outcome. It was made POD 10.6+/-8.3 in 2A group, 13.2+/-11.1 2B group. In from Group who recurrence infection, initial 13.1+/-11.1. where an SC possible 11.1+/-6.6 17.7+/-16.2 MF key successful management aggressive treatment with reopening entire sternum, seems mandatory achieve low rate.
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