Management of sternal osteomyelitis and mediastinal infection following median sternotomy

Chinese Medical Journal

Volumn 123, Issue 20, 2010, Pages 2803-2806

  Gao, Ju ^a   Wang, You li ^a   Lu, Shu qiang ^a   Cai, Ai bing ^a   Yang, Zhi fu ^a   Han, Zhi yi ^a   Li, Jiu jiang ^a   Wen, Yu ming ^a   Geng, Feng yong ^a   Wang, Wen zhang ^a  

^a Third Department of Surgery   (China)

Author keywords

Management; Median sternotomy; Mediastinal infection; Muscle flaps; Sternal osteomyelitis

Indexed keywords

ADULT; AGED; ARTICLE; BLEEDING; CLINICAL ARTICLE; CLINICAL EFFECTIVENESS; DEBRIDEMENT; DRAIN; FOLLOW UP; HEMOSTASIS; HOSPITALIZATION; HUMAN; LUNG DEAD SPACE; MALE; MEDIASTINITIS; MUSCLE FLAP; OPERATION DURATION; OSTEOMYELITIS; RETROSPECTIVE STUDY; STERNOTOMY; STERNUM; SURGICAL INFECTION; ADOLESCENT; MIDDLE AGED; PLASTIC SURGERY;

ADOLESCENT; ADULT; AGED; DEBRIDEMENT; FOLLOW-UP STUDIES; HUMANS; MALE; MEDIASTINITIS; MIDDLE AGED; OSTEOMYELITIS; RETROSPECTIVE STUDIES; STERNOTOMY; STERNUM; SURGICAL FLAPS; SURGICAL WOUND INFECTION;

EID: 79952278640     PISSN: 03666999     EISSN: None     Source Type: Journal    
DOI: 10.3760/cma.j.issn.0366-6999.2010.20.010     Document Type: Article

References (23)

1. Borger MA, Rao V, Weisel RD, Ivanov J, Cohen G, Scully HE. Deep sternal wound infection: risk factors and outcomes. Ann Thorac Surg 1998; 65: 1050-1056.
2. Crabtree TD, Codd JE, Fraser VJ, Bailey MS, Olsen MA, Damiano Jr RJ. Multivariate analysis of risk factors for deep and superficial sternal infection after coronary artery bypass grafting at a tertiary care medical center. Semin Thorac Cardiovasc Surg 2004; 16: 53-61.
3. Douville EC, Asaph JW, Dworkin RJ, Handy Jr JR, Canepa CS, Grunkemeier GL, et al. Sternal preservation: a better way to treat most sternal wound complications after cardiac surgery. Ann Thorac Surg 2004; 78: 1659-1664.
4. Wong CH, Senewiratne S, Garlick B, Mullany D. Two-stage management of sternal wound infection using bilateral pectoralis major advancement flap. Eur J Cardiothorac Surg 2006; 30: 148-152.
5. Poncelet AJ, Lengele B, Delaere B, Zech F, Glineur D, Funken JC, et al. Algorithm for primary closure in sternal wound infection: a single institution 10-year experience. Eur J Cardiothorac Surg 2008; 33: 232-238.
6. Sachithanandan A, Nanjaiah P, Nightingale P, Wilson IC, Graham TR, Rooney SJ, et al. Deep sternal wound infection requiring revision surgery: impact on mid-term survival following cardiac surgery. Eur J Cardiothorac Surg 2008; 33: 673-678.
7. Jeffery LC. An effective way to strive for eventual wound closure and the improvement of the patient's over all condition. Advanced wound therapies in the management of severe military lower limb trauma: a new perspective. Eplasty 2009; 9: e28.
8. Robinson PJ, Billah B, Leder K, Reid CM. Factors associated with deep sternal wound infection and haemorrhage following cardiac surgery in Victoria. Interact Cardio Vasc Thorac Surg 2007; 6: 167-171.
9. Raja SG, Berg GA. Should vacuum-assisted closure therapy be routinely used for management of deep sternal wound infection after cardiac surgery? Interact Cardiovasc Thorac Surg 2007; 6: 523-527.
10. Sjogren J, Malmsjo M, Gustafsson R, Ingemansson R. Post sternotomy mediastinitis: a review of conventional surgical treatments, vacuum-assisted closure therapy and presentation of the Lund University Hospital mediastinitis algorithm. Eur J Cardiothorac Surg 2006; 30: 898-905.
11. Graf K, Sohr D, Haverich A, Kühn C, Gastmeier P, Chaberny IF. Decrease of deep sternal surgical site infection rates after cardiac surgery by a comprehensive infection control program. Interact Cardiovasc Thorac Surg 2009; 9: 282-286.
12. Eyileten Z, Akar AR, Eryilmaz S, Sirlak M, Yazicioglu L, Durdu S, et al. Vacuum-assisted closure and bilateral pectoralis muscle flaps for different stages of mediastinitis after cardiac surgery. Surg Today 2009; 39: 947-954.
13. Friberg O, Dahlin LG, Källman J, Kihlström E, Söderquist B, Svedjeholm R. Collagen-gentamicin implant for prevention of sternal wound infection: long-term follow-up of effectiveness. Interact Cardiovasc Thorac Surg 2009; 9: 454-458.
14. Moreschi AH, Macedo Neto AV, Barbosa GV, Saueressig MG. Aggressive treatment using muscle flaps or omentopexy in infections of the sternum and anterior mediastinum following sternotomy. J Bras Pneumol 2008; 34: 654-660.
15. Atkins BZ, Wooten MK, Kistler J, Hurley K, Hughes GC, Wolfe WG. Does negative pressure wound therapy have a role in preventing poststernotomy wound complications? Surg Innov 2009; 16: 140-146.
16. Poncelet AJ, Lengele B, Delaere B, Zech F, Glineur D, Funken JC, et al. Algorithm for primary closure in sternal wound infection: a single institution 10-year experience. Eur J Cardiothorac Surg 2008; 33: 232-238.
17. Quiroga Martínez J, Gualis Cardona J, Gregorio Crespo B, Cabanyes Candela S, Cilleruelo Ramos A, Duque Medina JL. Utility of omentoplasty for poststernotomy mediastinitis secondary to myocardial revascularization surgery. Arch Bronconeumol 2008; 44: 113-115.
18. Schmid DW, Orasch-Jörg C, Wettstein R, Kalbermatten DF, Todorov A, Pierer G. Successful therapy for a patient with an infected ascending aortic graft and sternal osteomyelitis without graft removal. Eplasty 2008; 43: 419-422.
19. Brito Jde D, Assumpção CR, Murad H, Jazbik Ade P, Sá MP, Bastos ES, et al. One-stage management of infected sternotomy wounds using bilateral pectoralis major myocutaneous advancement flap. Rev Bras Cir Cardiovasc 2009; 24: 58-63.
20. Ma XJ, Han Y, Guo SZ, Xia W, Zhang H, Liu YJ. Application of musculocutaneous flaps from the greater pectoral muscles to the treatment of osteomylitis of sternum due to thoracotomy. J Clin Surg (Chin) 2004; 12: 111-112.
21. Sjögren J, Mokhtari A, Gustafsson R, Malmsjö M, Nilsson J, Ingemansson R. Vacuum-assisted closure therapy for deep sternal wound infections: the impact of learning curve on survival and predictors for late mortality. Int Wound J 2008; 5: 216-223.
22. Chen SZ, Li J, Li XY, Xu LS. Effects of vacuum-assisted closure on wound microcirculation: an experimental study. Asian J Surg 2005; 28: 211-217.
23. Sartipy U, Lockowandt U, Gäbel J, Jidéus L, Dellgren G. Cardiac rupture during vacuum-assisted closure therapy. Ann Thorac Surg 2006; 82: 1110-1111.