The cost of vacuum-assisted closure therapy in treatment of deep sternal wound infection

2008 ◽  
Vol 42 (1) ◽  
pp. 85-89 ◽  
Author(s):  
Arash Mokhtari ◽  
Johan Sjögren ◽  
Johan Nilsson ◽  
Ronny Gustafsson ◽  
Malin Malmsjö ◽  
...  
Keyword(s):  
Wound Infection ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure ◽  
The Cost ◽  
Vacuum Assisted Closure Therapy

scholarly journals Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy for the treatment of deep sternal wound infections after cardiac surgery

2020 ◽  
Author(s):  
Feng Song ◽  
Zhenzhong Liu
Keyword(s):  
Cardiac Surgery ◽  
Wound Infection ◽  
Median Sternotomy ◽  
Advancement Flap ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure ◽  
Sternal Wound Infections ◽  
Vacuum Assisted Closure Therapy ◽  
Deep Sternal Wound Infections

Abstract Objectives: The median sternotomy is the most common surgical approach for cardiac surgery. Deep sternal wound infection is a fatal complication after median sternotomy. The aim of this study was to evaluate the therapeutic effect of Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy on rehabilitation for the treatment of deep sternal wound infection after cardiac surgery.Methods: Between January 2016 to January 2018, 21 patients (10 males, 11 females) with deep sternal wound infection after cardiac surgery underwent Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy. These patients were followed-up 12 months postoperative. The patient characteristics, duration of vacuum-assisted closure therapy, the mean hospital stay, postoperative complications, long-term survival of patients were retrospectively analyzed.Results: Most patients undergone 1–3 times vacuum-assisted closure treatment sessions before closure. All patients were cured to discharge, the mean hospital stay was 21.1 days. Most patients’ healing wounds were first-stage healing, only one patient’s wound was second-stage healing, none was third-stage healing. One patient developed pulmonary infection and respiratory failure during the 12-month follow-up. None of the patients died during follow-up.Conclusions: Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy for the treatment of deep sternal wound infections after cardiac surgery can shorten the hospital stays and few complications. However, this is a retrospective case series presentation with no comparison group, the number of inferences is limited, so further large-scale controlled studies are needed.

scholarly journals Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy for the treatment of deep sternal wound infections after cardiac surgery

2020 ◽  
Author(s):  
Feng Song ◽  
Zhenzhong Liu
Keyword(s):  
Cardiac Surgery ◽  
Wound Infection ◽  
Median Sternotomy ◽  
Advancement Flap ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure ◽  
Sternal Wound Infections ◽  
Vacuum Assisted Closure Therapy

Abstract Objectives: The median sternotomy is the most common surgical approach for cardiac surgery. Deep sternal wound infection is a fatal complication after median sternotomy. The aim of this study was to evaluate the therapeutic effect of Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy on rehabilitation for the treatment of deep sternal wound infection after cardiac surgery. Methods: Between January 2016 to January 2018, 21 patients (10 males, 11 females) with deep sternal wound infection after cardiac surgery underwent Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy. These patients were followed-up 12 months postoperative. The patient characteristics, duration of vacuum-assisted closure therapy, the mean hospital stay, postoperative complications, long-term survival of patients were retrospectively analyzed. Results: Most patients undergone 1–3 times vacuum-assisted closure treatment sessions before closure. All patients were cured to discharge, the mean hospital stay was 21.1 days. Most patients’ healing wounds were first-stage healing, only one patient’s wound was second-stage healing, none was third-stage healing. One patient developed pulmonary infection and respiratory failure during the 12-month follow-up. None of the patients died during follow-up.Conclusions: Bilateral-pectoral major muscle advancement flap combined with Vacuum-assisted closure therapy for the treatment of deep sternal wound infections after cardiac surgery can shorten the hospital stays and few complications. However, this is a retrospective case series presentation with no comparison group, the number of inferences is limited, so further large-scale controlled studies are needed.

scholarly journals Vacuum-assisted closure versus closed irrigation for deep sternal wound infection treatment in infants: a propensity score-matched study

2019 ◽  
Vol 29 (5) ◽  
pp. 776-782
Author(s):  
Sergey Ivanzov ◽  
Ilya Soynov ◽  
Yuriy Kulyabin ◽  
Alexey Zubritskiy ◽  
Alexey Voitov ◽  
...  
Keyword(s):  
Risk Factor ◽  
Propensity Score ◽  
Wound Infection ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure ◽  
Vac Therapy ◽  
Infection Treatment ◽  
Significant Difference ◽  
Irrigation Drainage

Abstract OBJECTIVES This study aimed to compare vacuum-assisted closure therapy (VAC) and closed irrigation drainage therapy (CID) for deep sternal wound infection treatment in infants. METHODS From January 2008 to March 2018, 69 patients (1.73%) had deep sternal wound infection. They were divided into 2 groups: patients treated with VAC therapy (VAC group, 29 patients) and those treated with CID therapy (CID group, 40 patients). After performing a propensity score analysis (1:1) for the entire sample, 16 patients receiving VAC therapy were matched with 16 patients receiving CID therapy. RESULTS No significant difference was noted between both groups regarding age [d = 0.045; 95% confidence interval (CI) 0.99–1.07], gender (d = 0.001; 95% CI 0.22–4.45), weight (d = 0.011; 95% CI 0.73–1.35), body surface area (d = −0.023; 95% CI 0.01–5733.08), cardiopulmonary bypass (d = 0; 95% CI 0.16–5.90) and open chest duration (d = −0.112; 95% CI 0.31–5.16). Five patients died in the CID group (31.25%) during hospital stay, and there were no deaths in the VAC group (P = 0.024). Recurrence of mediastinitis occurred in 1 patient (6.25%) from the VAC group and in 6 patients (37.5%) from the CID group (P = 0.037). The multivariable regression analysis revealed that the CID method was the only risk factor for remediastinitis (odds ratio 17.3; 95% CI 1.04–286.75; P = 0.046). CONCLUSIONS Use of VAC therapy in infants with deep sternal wound infection was associated with a substantial decrease in the mortality rate and duration of therapy compared with CID technique. The CID technique was an independent risk factor for recurrence of mediastinitis.

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