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. 2011 Feb;25(1):25-33.
doi: 10.1055/s-0031-1275168.

Overview and management of sternal wound infection

Kimberly Singh  1 , Erica Anderson, J Garrett Harper
Affiliations

Overview and management of sternal wound infection

Kimberly Singh et al. Semin Plast Surg. 2011 Feb.

Abstract

Sternal wound infection is a life-threatening complication after cardiac surgery associated with high morbidity and mortality. Past treatment options have included closed suction and continuous irrigation. Current paradigms in the management of sternal wound infection include surgical debridement, vacuum-assisted closure therapy, flap coverage, and sternal plating. We provide a general overview of sternal wound infection and treatment options for the plastic surgeon.

Keywords: Sternal wound infection; VAC; flap; sternal plating; treatment.

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Figures

Figure 1
Figure 1
Incidence of VAC treatment and DSWIs from 2002 to 2007. Note the inverse correlation between the increased use of VAC treatment and the incidence of DSWI.
Figure 2
Figure 2
Incidence of osteosynthesis from 2002 to 2007. Note the increase in the use of sternal fixation over time.
Figure 3
Figure 3
Example of type of sternal fixation. Note the precise alignment of the sternum with the assistance of the device.
See this image and copyright information in PMC

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