Is vacuum‐assisted closure therapy feasible for children with deep sternal wound infection after cardiac surgery? The pooling results from current literature

2021 ◽  
Author(s):  
Yuhao Wu ◽  
Junke Wang ◽  
Jiangtao Dai ◽  
Gang Wang ◽  
Hongbo Li ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Wound Infection ◽  
Current Literature ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure ◽  
Vacuum Assisted Closure Therapy

scholarly journals Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy for the treatment of deep sternal wound infections after cardiac surgery

2020 ◽  
Author(s):  
Feng Song ◽  
Zhenzhong Liu
Keyword(s):  
Cardiac Surgery ◽  
Wound Infection ◽  
Median Sternotomy ◽  
Advancement Flap ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure ◽  
Sternal Wound Infections ◽  
Vacuum Assisted Closure Therapy ◽  
Deep Sternal Wound Infections

Abstract Objectives: The median sternotomy is the most common surgical approach for cardiac surgery. Deep sternal wound infection is a fatal complication after median sternotomy. The aim of this study was to evaluate the therapeutic effect of Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy on rehabilitation for the treatment of deep sternal wound infection after cardiac surgery.Methods: Between January 2016 to January 2018, 21 patients (10 males, 11 females) with deep sternal wound infection after cardiac surgery underwent Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy. These patients were followed-up 12 months postoperative. The patient characteristics, duration of vacuum-assisted closure therapy, the mean hospital stay, postoperative complications, long-term survival of patients were retrospectively analyzed.Results: Most patients undergone 1–3 times vacuum-assisted closure treatment sessions before closure. All patients were cured to discharge, the mean hospital stay was 21.1 days. Most patients’ healing wounds were first-stage healing, only one patient’s wound was second-stage healing, none was third-stage healing. One patient developed pulmonary infection and respiratory failure during the 12-month follow-up. None of the patients died during follow-up.Conclusions: Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy for the treatment of deep sternal wound infections after cardiac surgery can shorten the hospital stays and few complications. However, this is a retrospective case series presentation with no comparison group, the number of inferences is limited, so further large-scale controlled studies are needed.

scholarly journals Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy for the treatment of deep sternal wound infections after cardiac surgery

2020 ◽  
Author(s):  
Feng Song ◽  
Zhenzhong Liu
Keyword(s):  
Cardiac Surgery ◽  
Wound Infection ◽  
Median Sternotomy ◽  
Advancement Flap ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure ◽  
Sternal Wound Infections ◽  
Vacuum Assisted Closure Therapy

Abstract Objectives: The median sternotomy is the most common surgical approach for cardiac surgery. Deep sternal wound infection is a fatal complication after median sternotomy. The aim of this study was to evaluate the therapeutic effect of Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy on rehabilitation for the treatment of deep sternal wound infection after cardiac surgery. Methods: Between January 2016 to January 2018, 21 patients (10 males, 11 females) with deep sternal wound infection after cardiac surgery underwent Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy. These patients were followed-up 12 months postoperative. The patient characteristics, duration of vacuum-assisted closure therapy, the mean hospital stay, postoperative complications, long-term survival of patients were retrospectively analyzed. Results: Most patients undergone 1–3 times vacuum-assisted closure treatment sessions before closure. All patients were cured to discharge, the mean hospital stay was 21.1 days. Most patients’ healing wounds were first-stage healing, only one patient’s wound was second-stage healing, none was third-stage healing. One patient developed pulmonary infection and respiratory failure during the 12-month follow-up. None of the patients died during follow-up.Conclusions: Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy for the treatment of deep sternal wound infections after cardiac surgery can shorten the hospital stays and few complications. However, this is a retrospective case series presentation with no comparison group, the number of inferences is limited, so further large-scale controlled studies are needed.

The cost of vacuum-assisted closure therapy in treatment of deep sternal wound infection

2008 ◽  
Vol 42 (1) ◽  
pp. 85-89 ◽  
Author(s):  
Arash Mokhtari ◽  
Johan Sjögren ◽  
Johan Nilsson ◽  
Ronny Gustafsson ◽  
Malin Malmsjö ◽  
...  
Keyword(s):  
Wound Infection ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure ◽  
The Cost ◽  
Vacuum Assisted Closure Therapy

scholarly journals Vacuum-assisted closure therapy guided by C-reactive protein level in patients with deep sternal wound infection

2002 ◽  
Vol 123 (5) ◽  
pp. 895-900 ◽  
Author(s):  
Ronny Gustafsson ◽  
Per Johnsson ◽  
Lars Algotsson ◽  
Sten Blomquist ◽  
Richard Ingemansson
Keyword(s):  
Wound Infection ◽  
Protein Level ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
Vacuum Assisted Closure Therapy

Vacuum-assisted closure to treat deep sternal wound infection following cardiac surgery

2000 ◽  
Vol 9 (5) ◽  
pp. 229-230 ◽  
Author(s):  
A.T.M. Tang ◽  
S.K. Okri ◽  
M.P. Haw
Keyword(s):  
Cardiac Surgery ◽  
Wound Infection ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure

scholarly journals Impact of deep sternal wound infection management with vacuum-assisted closure therapy followed by sternal osteosynthesis: a 15-year review of 23499 sternotomies

2010 ◽  
Vol 37 (4) ◽  
pp. 880-887 ◽  
Author(s):  
Richard Baillot ◽  
Daniel Cloutier ◽  
Livia Montalin ◽  
Louise Côté ◽  
François Lellouche ◽  
...  
Keyword(s):  
Wound Infection ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure ◽  
Infection Management ◽  
Vacuum Assisted Closure Therapy

Deep sternal wound infection: a sternal-sparing technique with vacuum-assisted closure therapy

2003 ◽  
Vol 76 (6) ◽  
pp. 2048-2053 ◽  
Author(s):  
Ronny I Gustafsson ◽  
Johan Sjögren ◽  
Richard Ingemansson
Keyword(s):  
Wound Infection ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure ◽  
Vacuum Assisted Closure Therapy

Vacuum-Assisted Closure for the Treatment of Deep Sternal Wound Infection After Pediatric Cardiac Surgery

2020 ◽  
Vol 21 (2) ◽  
pp. 150-155 ◽  
Author(s):  
Gilad Sherman ◽  
Orit Shulman-Manor ◽  
Ovadia Dagan ◽  
Gilat Livni ◽  
Oded Scheuerman ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Wound Infection ◽  
Pediatric Cardiac Surgery ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure

scholarly journals Vacuum assistance therapy as compared to early reconstructive treatment in deep sternal wound infection

2020 ◽  
pp. 145749692097928
Author(s):  
E. Hämäläinen ◽  
J. Laurikka ◽  
H. Huhtala ◽  
O. Järvinen
Keyword(s):  
Cardiac Surgery ◽  
Wound Infection ◽  
Fungal Infections ◽  
Mortality Rates ◽  
University Hospital ◽  
Treatment Modalities ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure ◽  
Significant Difference

Background and Aims: Deep sternal wound infection is a major concern after cardiac surgery. This study describes the incidence of postoperative deep sternal wound infections after cardiac surgery and compares two available treatment modalities. Materials and Methods: In Tampere University Hospital, 7973 open heart operations were performed between 2007 and 2016. Patients treated for a postoperative deep sternal wound infection were categorized in two groups based on treatment: revision surgery with early reconstruction (revision group; 74 patients) or vacuum-assisted closure treatment (VAC group; 55 patients). The end points in comparisons were overall mortality and hospitalization time. Results: A total of 129 patients (1.6%) developed a postoperative deep sternal wound infection. The 30-day mortality rates were 8.1% and 3.6%, the 90-day mortality rates were 15.5% and 18.2%, and the 1-year mortality rates were 17.6% and 23.6% for the revision and VAC group, respectively. There was no statistically significant difference in mortality rates. The hospital stay was 18 days in the revision group and 38 days in the VAC group (p < 0.001). The secondary intensive care unit stay was longer in the VAC group (median 1 vs 4, p = 0.011). The most common pathogens isolated in the first reoperation were coagulase-negative staphylococci (33.8% and 41.8%, respectively; p = 0.366), and positive candida findings were more common in the VAC group (4.1% vs 37.0 %, p < 0.001). Conclusion: Vacuum-assisted closure treatment induces an inferior outcome in terms of fungal infections, treatment times, and the number of reoperations.

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