Discriminate use of electrocautery on the median sternotomy incision. A 0.16% wound infection rate.
J Thorac Cardiovasc Surg
; 101(3): 488-94, 1991 Mar.
Article
em En
| MEDLINE
| ID: mdl-1999943
ABSTRACT
Between June 1978 and June 1989, superficial or deep mediastinitis (or both) developed in only five (0.16%) of 3118 consecutive patients. All patients studied underwent cardiac procedures through a median sternotomy and survived more than 7 postoperative days. The surgical team disciplined itself to divide presternal soft tissues with a scalpel and used electrocautery for pinpoint hemostasis only. This 0.16% infection rate was statistically significantly lower than those in 28 previously published studies (Pearson's chi 2 test, p less than 0.05). Twenty-four predisposing factors were evaluated by Fisher's exact test. Among these only an operating time longer than 3 hours is related to sternotomy infections (p = 0.0208), and this effect was not a strong one. Statistical evidence strongly suggests that discriminate use of electrocautery is a major reason for the lowest median sternotomy infection rate reported to date.
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Base de dados:
MEDLINE
Assunto principal:
Esterno
/
Infecção da Ferida Cirúrgica
/
Eletrocoagulação
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Procedimentos Cirúrgicos Cardíacos
/
Mediastinite
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
1991
Tipo de documento:
Article