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Ann Thorac Surg ; 97(5): 1816-8, 2014 May.
Article in English | MEDLINE | ID: mdl-24792284

ABSTRACT

Mediastinitis is a serious complication of cardiac surgical procedures, with high rates of morbidity and mortality. We describe a new simple surgical technique to treat deep sternal infection based on the removal of all wires and deep sutures, and reapproximation of the sternum with four external plates without rewiring. Fourteen patients were treated with this technique. No complications related to the procedure occurred, the infection was successfully treated in all patients, and only 1 patient underwent vacuum treatment to obtain healing of the wound.


Subject(s)
Bone Plates , Mediastinitis/surgery , Plastic Surgery Procedures/methods , Sternotomy/adverse effects , Surgical Wound Infection/surgery , Aged , Aged, 80 and over , Cardiac Surgical Procedures/adverse effects , Cardiac Surgical Procedures/methods , Cohort Studies , Debridement/methods , Female , Humans , Imaging, Three-Dimensional , Male , Mediastinitis/etiology , Middle Aged , Prosthesis Design , Reoperation/methods , Retrospective Studies , Risk Assessment , Sternotomy/methods , Surgical Wound Infection/diagnosis , Surgical Wound Infection/etiology , Suture Techniques , Tomography, X-Ray Computed , Treatment Outcome , Wound Healing/physiology
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