Outcomes in the management of sternal dehiscence by plastic surgery: a ten-year review in one university center.

作者: Genevieve Landes , Patrick G. Harris , John S. Sampalis , Jean-Paul Brutus , Carlos Cordoba

DOI: 10.1097/SAP.0B013E31803B370B

关键词:

摘要: Purpose: Infection rates following median sternotomy vary between 0.2% and 10%. These cases are associated with morbidity mortality 10% 25% 5% 20%, respectively. The purpose of this study was to evaluate patient outcomes plastic surgery correction dehiscence (SD). Methods: All patients operated on for an SD coronary artery bypass graft (CABG), 1995 2005, 1 or more flaps, were included. Results: Eighty identified over a 10-year period. mean age 64 (±9.1) years. Two procedures required in 17.5% patients, the rate within 30 days 12.5%. Significant variability revealed cumulative surgeons, from 0.0% 50.0%. Multiple associations poor outcome, including chronic renal insufficiency early mortality, obesity risk reintervention. Conclusion: Although who undergo surgical deep sternal infection usually tolerate their intervention well, remains high. This has several factors explaining population.

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