Aggressive primary treatment for poststernotomy acute mediastinitis: Our experience with omental- And muscle flaps surgery

European Journal of Cardio-thoracic Surgery

Volumn 20, Issue 4, 2001, Pages 743-746

  Schroeyers, Pascal ^a   Wellens, Francis ^a   Degrieck, Ivan ^a   De Geest, Raf ^a   Van Praet, Frank ^a   Vermeulen, Yvette ^a   Vanermen, Hugo ^a  

^a OLV HOSPITAL   (Belgium)

Author keywords

Omental and pectoralis plasty; Poststernotomy mediastinitis

Indexed keywords

AGED; ARTICLE; CORONARY ARTERY BYPASS GRAFT; FEMALE; HUMAN; MALE; MEDIASTINITIS; MORTALITY; PLASTIC SURGERY; POSTOPERATIVE COMPLICATION; REOPERATION; RISK FACTOR; STERNUM; SURGICAL INFECTION; SURVIVAL RATE;

AGED; CORONARY ARTERY BYPASS; FEMALE; HUMANS; MALE; MEDIASTINITIS; POSTOPERATIVE COMPLICATIONS; REOPERATION; RISK FACTORS; STERNUM; SURGICAL FLAPS; SURGICAL WOUND INFECTION; SURVIVAL RATE;

EID: 0035489783     PISSN: 10107940     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1010-7940(01)00873-9     Document Type: Article

References (18)

1. Blanchart A, Hurni M, Ruchat P, Stumpe F, Fischer A, Sadeghi H. Incidence of deep and superficial sternal infection after open heart surgery: a ten year retrospective study 1981 to 1991. Eur J Cardiothorac Surg 1995;9:153-157.
2. Culliford AT, Cunningham JN, Zeff RH, Isom OW, Teiko P, Spencer FC. Sternal and costochondral infections following open heart surgery: a review of 2594 cases. J thorac Cardiovasc Surg 1976;72:714-726.
3. Wouters R, Wellens F, Vanermen H, De Geest R, Degrieck Y, De Meerleer F. Sternitis and mediastinitis after coronary bypass grafting. Texas Heart Inst J 1994;21:183-188.
4. Sarr MG, Gott VL, Townsend TR. Mediastinitis infections after cardiac surgery. Ann Thorac Surg 1984;38:415-423.
5. Rutledge R, Applebaum RE, Kim Bj. Mediastinal infection after open heart surgery. Surgery 1985;97:88-92.
6. Loop FD, Lytle BW, Cosgrove DM, Mahfood S, McHenry MC, Goormastic M, Stewart RW, Golding LAR, Taylor PC. Sternal wound complications after isolated coronary artery bypass grafting: early and late mortality, morbidity and cost of care. Ann Thorac Surg 1990;49:179-187.
7. Shumacker jr HB, Mandelbaum I. Continuous antibiotic irrigation in the treatement of infection. Arch Surg 1963;86:384-387.
8. Lee Jr AB, Schimert G, Shatkin S. Total excision of the sternum and thoracic pedicle transposition of the greater omentum. Surgery 1976;80:433-436.
9. Jurkiewicz MJ, Bostwick JIII, ester TR, Bishop JB, Craver J. Infected median sternotomy wounds: successful treatment by muscle flaps. Ann Surg 1980;191:738-743.
10. Williams CD, Cunningham JN, Falk EA. Chronic infection of the costal cartilages after thoracic surgical procedure. J Thorac Cardiovasc Surg 1973;66:592-596.
11. Serry C, Bleck PC, Javid H. Sternal wound complications: management and results. J Thorac Cardiovasc Surg 1980;80:861-866.
12. Obdeijn MC, de Lange MY, Lichtendalh DHE, de Boer WJ. Vacuumassisted closure in the treatement of posternotomy mediastinitis. Ann Thorac Surg 1999;68:2358-2360.
13. Milano CA, Georgiade G, Muhlbaier LH, Smith PK, Wolfe WG. Comparison of omental and pectoralis flaps for poststernotomy mediastinitis. Ann Thorac Surg 1999;67:377-381.
14. Pairolero PC, Arnold PG, Harris JB. Long term results of pectoralis major muscle transposition for infected sternotomy wounds. Ann Surg 1991;213:583-590.
15. Kohman LJ, Gilbert R, Auchincloss JH, Coleman MJ, Parker FB. Functional results of muscle flap closure for sternal infection. Ann Thorac Surg 1991;52:102-105.
16. Acinapura AJ, Godfrey N, Romita M. Surgical management of infected median sternotomy: closed irrigation vs. muscle flaps. J Cardiovasc Surg 1985;26:443-446.
17. Grossi EA, Culliford AT, Krieger KH, Kloth D, Press R, Baumann FG, Spencer FC. A survey of 77 major infectious complications of median sternotomy: A review of 7949 consecutive operative procedures. Ann Thorac Surg 1985;40:214-223.
18. Prevosti LG, Subramanian VA, Rothaus KO. A comparison of the open and closed methods in the initial treatment of sternal wound infections. J Cardiovasc Surg 1989;30:757-763.