Negative pressure wound therapy for the treatment of sternal wound infections after cardiac surgery
We retrospectively collected and analysed data from patients with sternal wound infections between 1995 and 2001, which were treated with different wound management strategies, and compared them with our patients from 2002 to 2011, who were treated with the sternal negative pressure wound therapy (N...
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| Veröffentlicht in: | International wound journal 2014-06, Vol.11 (3), p.240-245 |
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| description | We retrospectively collected and analysed data from patients with sternal wound infections between 1995 and 2001, which were treated with different wound management strategies, and compared them with our patients from 2002 to 2011, who were treated with the sternal negative pressure wound therapy (NPWT). From 1995 to 2001, a total of 198 patients (group A) with a mean age of 65 ± 10 years developed sternal wound infection (67% deep) after cardiac surgery. Wound management consisted of surgical debridement and immediate sternal closure or open packing. From 2002 to 2011, a total of 326 patients (group B) (71% deep) were managed with NPWT at the time of surgical debridement. Total mortality was 10% in group A and 3·6% in group B. Recurrence rates were 34 and 8·5%, respectively, for the groups A and B. The meantime of NPWT was 11 days. In group B patients, 75% proceeded to sternal closure. With the introduction of NPWT, the treatment of sternal wound infections could be substantially improved. Particularly, the high recurrence rates could be minimised; furthermore, the goal to salvage the sternal bone is facilitated. |
| doi_str_mv | 10.1111/j.1742-481X.2012.01079.x |
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From 1995 to 2001, a total of 198 patients (group A) with a mean age of 65 ± 10 years developed sternal wound infection (67% deep) after cardiac surgery. Wound management consisted of surgical debridement and immediate sternal closure or open packing. From 2002 to 2011, a total of 326 patients (group B) (71% deep) were managed with NPWT at the time of surgical debridement. Total mortality was 10% in group A and 3·6% in group B. Recurrence rates were 34 and 8·5%, respectively, for the groups A and B. The meantime of NPWT was 11 days. In group B patients, 75% proceeded to sternal closure. With the introduction of NPWT, the treatment of sternal wound infections could be substantially improved. 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International Wound Journal © 2012 Medicalhelplines.com Inc and John Wiley & Sons Ltd</rights><rights>2012 The Authors. 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From 1995 to 2001, a total of 198 patients (group A) with a mean age of 65 ± 10 years developed sternal wound infection (67% deep) after cardiac surgery. Wound management consisted of surgical debridement and immediate sternal closure or open packing. From 2002 to 2011, a total of 326 patients (group B) (71% deep) were managed with NPWT at the time of surgical debridement. Total mortality was 10% in group A and 3·6% in group B. Recurrence rates were 34 and 8·5%, respectively, for the groups A and B. The meantime of NPWT was 11 days. In group B patients, 75% proceeded to sternal closure. With the introduction of NPWT, the treatment of sternal wound infections could be substantially improved. Particularly, the high recurrence rates could be minimised; furthermore, the goal to salvage the sternal bone is facilitated.</description><subject>Aged</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Debridement</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Negative pressure wound therapy</subject><subject>Negative pressure wound therapy; Postoperative complication; Sternal wound infection; Wound healing</subject><subject>Original</subject><subject>Postoperative complication</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Sternal wound infection</subject><subject>Sternum - surgery</subject><subject>Surgical Wound Infection - etiology</subject><subject>Surgical Wound Infection - therapy</subject><subject>Treatment Outcome</subject><subject>Wound Healing</subject><issn>1742-4801</issn><issn>1742-481X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUctu1DAUjRCIlsIvIC_ZJNiOH-MFSFBBKZSyAFR2V65zPfWQSaZ20s78PQ4zRLDDGx_pPHzkUxSE0Yrl83JVMS14KRbsR8Up4xVlVJtq-6A4nomHM6bsqHiS0opSbqTUj4sjzo2otWDHhbvEpR3CHZJNxJTGiOS-H7uGDDcY7WZHfB8nTIaIdlhjN5DekzRg7Gx7kIbOoxtC3yVifWaIs7EJ1pEct8S4e1o88rZN-OxwnxTf37_7dvqhvPhydn765qJ0knFTcqOpQmGMY1zw2nrFr42zbNFwZErJmnpdo5ZSNLm6brThnGnlF7VjhhpTnxSv97mb8XqNjctlo21hE8Paxh30NsC_TBduYNnfgTaSGiFywItDQOxvR0wDrENy2La2w35MwCSXWulaqixd7KUu9ilF9PMzjMK0Eaxg-n6YpoBpI_i9EWyz9fnfNWfjn1Gy4NVecB9a3P13MJxffZxQ9pd7f8g7bWe_jT8hl9cSri7PgCv1VZnPb-FT_QvrXbDY</recordid><startdate>201406</startdate><enddate>201406</enddate><creator>Fleck, Tatjana</creator><creator>Fleck, Michael</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201406</creationdate><title>Negative pressure wound therapy for the treatment of sternal wound infections after cardiac surgery</title><author>Fleck, Tatjana ; Fleck, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5129-29706e499c12423af62b9ca18d2e166530f73e7554d7417d7922176f83c190993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Cardiac Surgical Procedures - adverse effects</topic><topic>Debridement</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Negative pressure wound therapy</topic><topic>Negative pressure wound therapy; Postoperative complication; Sternal wound infection; Wound healing</topic><topic>Original</topic><topic>Postoperative complication</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Sternal wound infection</topic><topic>Sternum - surgery</topic><topic>Surgical Wound Infection - etiology</topic><topic>Surgical Wound Infection - therapy</topic><topic>Treatment Outcome</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fleck, Tatjana</creatorcontrib><creatorcontrib>Fleck, Michael</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International wound journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Fleck, Tatjana</au><au>Fleck, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Negative pressure wound therapy for the treatment of sternal wound infections after cardiac surgery</atitle><jtitle>International wound journal</jtitle><addtitle>Int Wound J</addtitle><date>2014-06</date><risdate>2014</risdate><volume>11</volume><issue>3</issue><spage>240</spage><epage>245</epage><pages>240-245</pages><issn>1742-4801</issn><eissn>1742-481X</eissn><abstract>We retrospectively collected and analysed data from patients with sternal wound infections between 1995 and 2001, which were treated with different wound management strategies, and compared them with our patients from 2002 to 2011, who were treated with the sternal negative pressure wound therapy (NPWT). From 1995 to 2001, a total of 198 patients (group A) with a mean age of 65 ± 10 years developed sternal wound infection (67% deep) after cardiac surgery. Wound management consisted of surgical debridement and immediate sternal closure or open packing. From 2002 to 2011, a total of 326 patients (group B) (71% deep) were managed with NPWT at the time of surgical debridement. Total mortality was 10% in group A and 3·6% in group B. Recurrence rates were 34 and 8·5%, respectively, for the groups A and B. The meantime of NPWT was 11 days. In group B patients, 75% proceeded to sternal closure. With the introduction of NPWT, the treatment of sternal wound infections could be substantially improved. 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| source | Wiley Online Library Open Access |
| subjects | Aged Cardiac Surgical Procedures - adverse effects Debridement Female Humans Male Middle Aged Negative pressure wound therapy Negative pressure wound therapy Postoperative complication Sternal wound infection Wound healing Original Postoperative complication Postoperative Complications Retrospective Studies Sternal wound infection Sternum - surgery Surgical Wound Infection - etiology Surgical Wound Infection - therapy Treatment Outcome Wound Healing |
| title | Negative pressure wound therapy for the treatment of sternal wound infections after cardiac surgery |
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