Vacuum-Assisted Closure for Pediatric Post-Sternotomy Mediastinitis: Are Low Negative Pressures Sufficient?

Vacuum-Assisted Closure for Pediatric Post-Sternotomy Mediastinitis: Are Low Negative Pressures Sufficient?

We present 3 cases of pediatric post-sternotomy mediastinitis treated by a vacuum-assisted closure (VAC). The patients 2 girls, aged 6 months and 10 months, and a 2-year-old boy. The onset of infection was at 9, 14, and 32 postoperative days. The culture examination detected coagulase-negative Staph...

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Veröffentlicht in:The Annals of thoracic surgery 2008-03, Vol.85 (3), p.1094-1096
Hauptverfasser: Kadohama, Takayuki, MD, PhD, Akasaka, Nobuyuki, MD, PhD, Nagamine, Akira, MD, Nakanishi, Keisuke, MD, Kiyokawa, Keiko, MD, Goh, Kazutomo, MD, PhD, Sasajima, Tadahiro, MD, PhD
Format: Artikel
Sprache:eng
Schlagworte:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cardiac Surgical Procedures - adverse effects
Cardiology. Vascular system
Cardiothoracic Surgery
Child, Preschool
Female
Humans
Infant
Male
Mediastinitis - etiology
Mediastinitis - microbiology
Mediastinitis - therapy
Medical sciences
Negative-Pressure Wound Therapy
Pneumology
Staphylococcal Infections - therapy
Sternum - surgery
Surgery
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Zusammenfassung:We present 3 cases of pediatric post-sternotomy mediastinitis treated by a vacuum-assisted closure (VAC). The patients 2 girls, aged 6 months and 10 months, and a 2-year-old boy. The onset of infection was at 9, 14, and 32 postoperative days. The culture examination detected coagulase-negative Staphylococci strains in 2 cases, and Staphylococcus aureus in 1 case. A VAC was performed at −50 mm Hg for 10, 12, and 7 days. The wounds were closed without vascularized soft tissue. A VAC under a low negative pressure is a useful and safe procedure for the management of pediatric post-sternotomy mediastinitis.
ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2007.09.004