The Modified Sternoplasty: A Novel Surgical Technique for Treating Mediastinitis.
Journal
Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
Titre abrégé: Plast Reconstr Surg Glob Open
Pays: United States
ID NLM: 101622231
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
09
02
2021
accepted:
07
02
2022
entrez:
4
5
2022
pubmed:
5
5
2022
medline:
5
5
2022
Statut:
epublish
Résumé
Deep sternal wound infection (DSWI) is one of the most complex and devastating complications post cardiac surgery. We present here the modified sternoplasty, a novel surgical technique for treating DSWI post cardiac surgery. The modified sternoplasty includes debridement and sternal refixation via bilateral longitudinal stainless-steel wires that are placed parasternally along the ribs at the midclavicular or anterior axillary line, followed by six to eight horizontal stainless-steel wires that are anchored laterally and directly into the ribs. On top of that solid structure, wound reconstruction is performed by the use of bilateral pectoralis muscle flaps followed by subcutaneous tissue and skin closure. We reported mortality rates and length of hospitalization of patients who underwent the modified sternoplasty. In total, 68 patients underwent the modified sternoplasty. Two of these critically ill patients died (2.9%). The average length of hospitalization from the diagnosis of DSWI was 24.63 ± 22.09 days. The modified sternoplasty for treating DSWI is a more complex surgery compared with other conventional sternoplasty techniques. However, this technique was demonstrated to be more effective, having a lower rate of mortality, and having a length of hospitalization lower than or comparable to other techniques previously reported in the literature.
Identifiants
pubmed: 35506023
doi: 10.1097/GOX.0000000000004233
pmc: PMC9053136
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e4233Informations de copyright
Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
Références
J Biomater Appl. 2013 Nov;28(4):483-97
pubmed: 23812580
Interact Cardiovasc Thorac Surg. 2017 Jul 1;25(1):6-11
pubmed: 28402472
J Thorac Cardiovasc Surg. 2006 Sep;132(3):537-43
pubmed: 16935107
Ann Thorac Surg. 2019 Mar;107(3):802-808
pubmed: 30620706
J Thorac Cardiovasc Surg. 2013 May;145(5):1387-92
pubmed: 23111014
J Cardiothorac Surg. 2011 Apr 18;6:56
pubmed: 21501461
Ann Thorac Cardiovasc Surg. 2017 Apr 20;23(2):76-82
pubmed: 28163297
Ann Thorac Surg. 1996 Mar;61(3):1030-6
pubmed: 8619682
Interact Cardiovasc Thorac Surg. 2012 Sep;15(3):406-10
pubmed: 22691377
Eur J Cardiothorac Surg. 2001 Dec;20(6):1168-75
pubmed: 11717023
Ann Thorac Surg. 1998 Apr;65(4):1050-6
pubmed: 9564926
Plast Reconstr Surg. 1989 Sep;84(3):434-41
pubmed: 2762402
J Reconstr Microsurg. 2019 Oct;35(8):602-608
pubmed: 31075802
Eur J Cardiothorac Surg. 1995;9(3):153-7
pubmed: 7786533
Ann Thorac Surg. 2013 Nov;96(5):1621-7
pubmed: 23972932
J Cardiothorac Surg. 2013 May 20;8:132
pubmed: 23688324
Crit Care. 2014 Nov 19;18(6):651
pubmed: 25408082
Medicine (Baltimore). 2017 Apr;96(16):e6391
pubmed: 28422830
J Cardiothorac Vasc Anesth. 2009 Aug;23(4):488-94
pubmed: 19376733
J Cardiothorac Surg. 2017 Nov 2;12(1):94
pubmed: 29096673
Infect Control Hosp Epidemiol. 1992 Oct;13(10):606-8
pubmed: 1334988
Semin Thorac Cardiovasc Surg. 2004 Spring;16(1):70-6
pubmed: 15366690
Ann Thorac Surg. 1999 Nov;68(5):1648-51
pubmed: 10585036
Ann Plast Surg. 2017 Feb;78(2):208-212
pubmed: 27387465
Med Care. 2017 Jan;55(1):79-85
pubmed: 27517331
Eur J Cardiothorac Surg. 2018 Feb 1;53(2):428-434
pubmed: 29045740
Korean J Thorac Cardiovasc Surg. 2015 Aug;48(4):258-64
pubmed: 26290837
J Thorac Cardiovasc Surg. 2016 Oct;152(4):962-72
pubmed: 27555340
Eur J Cardiothorac Surg. 2006 Dec;30(6):898-905
pubmed: 17056269
JAMA. 2010 Aug 18;304(7):755-62
pubmed: 20716738
Eur J Cardiothorac Surg. 2017 Jan;51(1):67-72
pubmed: 27365077