Changes in the management of deep sternal wound infections: a 12‐year review

Deep sternal wound infection (DSWI) is a rare but life‐threatening complication following cardiac surgery associated with increased morbidity and mortality. Management of these patients has evolved over the years and can include sternal rewiring, mediastinal irrigation, negative‐pressure wound therapy (NPWT) dressing or repair with flaps. We reviewed changes in our management of DSWI and outcomes.

[1]  J. Ennker,et al.  In Intensive Care Cardiovascular Anesthesia Expert Opinion , 2022 .

[2]  E. Anderson,et al.  Overview and Management of Sternal Wound Infection , 2011, Seminars in plastic surgery.

[3]  J. Afilalo,et al.  Predictors of vacuum-assisted closure failure of sternotomy wounds. , 2010, Journal of plastic, reconstructive & aesthetic surgery : JPRAS.

[4]  E. Wolner,et al.  Management of open chest and delayed sternal closure with the vacuum assisted closure system: preliminary experience. , 2008, Interactive cardiovascular and thoracic surgery.

[5]  R. Leyh,et al.  Management of poststernotomy mediastinitis: experience and results of different therapy modalities. , 2008, The Thoracic and cardiovascular surgeon.

[6]  J. Deslauriers,et al.  Pearson's Thoracic and Esophageal Surgery 3rd edition , 2008 .

[7]  A. Fokin,et al.  COMPLICATIONS OF MIDLINE STERNOTOMY , 2008 .

[8]  J. Sjögren,et al.  Poststernotomy mediastinitis: a review of conventional surgical treatments, vacuum-assisted closure therapy and presentation of the Lund University Hospital mediastinitis algorithm. , 2006, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[9]  L. Gottlieb,et al.  Vacuum-Assisted Closure for Sternal Wounds: A First-Line Therapeutic Management Approach , 2005, Plastic and reconstructive surgery.

[10]  T. Carrel,et al.  Deep sternal wound infection after cardiac surgery: modality of treatment and outcome. , 2005, The Annals of thoracic surgery.

[11]  J. Sjögren,et al.  Blood flow responses in the peristernal thoracic wall during vacuum-assisted closure therapy. , 2005, The Annals of thoracic surgery.

[12]  J. Sjögren,et al.  Deep sternal wound infection: a sternal-sparing technique with vacuum-assisted closure therapy. , 2003, The Annals of thoracic surgery.

[13]  L. Levin,et al.  Evaluation of vacuum-assisted closure in the treatment of poststernotomy mediastinitis. , 2003, The Journal of thoracic and cardiovascular surgery.

[14]  H. Luckraz,et al.  Vacuum-assisted closure as a treatment modality for infections after cardiac surgery. , 2003, The Journal of thoracic and cardiovascular surgery.

[15]  L. Gottlieb,et al.  Vacuum assisted closure for the treatment of sternal wounds: the bridge between débridement and definitive closure. , 2003 .

[16]  A. Moritz,et al.  Vacuum-assisted suction drainage versus conventional treatment in the management of poststernotomy osteomyelitis. , 2002, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[17]  M. Czerny,et al.  The vacuum-assisted closure system for the treatment of deep sternal wound infections after cardiac surgery. , 2002, The Annals of thoracic surgery.

[18]  P. Johnsson,et al.  Vacuum-assisted closure therapy guided by C-reactive protein level in patients with deep sternal wound infection. , 2002, The Journal of thoracic and cardiovascular surgery.

[19]  R. F. Morgan,et al.  The Vacuum-Assisted Closure Device as a Bridge to Sternal Wound Closure , 2001, Annals of plastic surgery.

[20]  S. Ohri,et al.  Novel application of vacuum assisted closure technique to the treatment of sternotomy wound infection. , 2000, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[21]  W. D. de Boer,et al.  Vacuum-assisted closure in the treatment of poststernotomy mediastinitis. , 1999, The Annals of thoracic surgery.

[22]  L. Argenta,et al.  Vacuum‐Assisted Closure: A New Method for Wound Control and Treatment: Animal Studies and Basic Foundation , 1997, Annals of plastic surgery.

[23]  R. Habib,et al.  Delayed primary closure of deep sternal wound infections. , 1996, Texas Heart Institute journal.

[24]  F. Nahai,et al.  Primary treatment of the infected sternotomy wound with muscle flaps: a review of 211 consecutive cases. , 1989, Plastic and reconstructive surgery.

[25]  A. Dibié,et al.  Mediastinal infection after cardiac operation. A simple closed technique. , 1989, The Journal of thoracic and cardiovascular surgery.

[26]  J. Craver,et al.  Infected Median Sternotomy Wound Successful Treatment by Muscle Flaps , 1980, Annals of surgery.