A Protective Device for Negative-Pressure Therapy in Patients With Mediastinitis

作者:Ingemansson Richard*; Malmsjo Malin; Lindstedt Sandra
来源:Annals of Thoracic Surgery, 2013, 95(1): 362-364.
DOI:10.1016/j.athoracsur.2012.08.027

摘要

A devastating complication associated with negative-pressure wound therapy (NPWT) after cardiac surgical intervention is heart rupture resulting in serious bleeding. The benefit of a rigid barrier between the underlying organs and the sharp sternal edges has been demonstrated in pigs. In the present article, we present our first 6 patients with deep sternal wound infection treated with NPWT in combination with a protective device. The median duration of NPWT was 8 days (range, 6-14 days). No major bleeding or signs of organ damage were observed. The use of a protective device seems to decrease the risk of bleeding complications.

  • 出版日期2013-1