2009
DOI: 10.1590/s0102-76382009000100011
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Abstract: The authors recommend the single-stage early management of sternotomy infected wounds with debridement, drainage and immediate closure of the wound using bilateral pectoralis major myocutaneous advancement flaps to the medium line of the sternum. The procedure is effective and may contribute to decrease the morbidity.

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Cited by 11 publications
(5 citation statements)
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“…Therapeutic options for the treatment of mediastinitis include debridement with early or late closure of the chest, debridement and closure with continuous irrigation using 0.9% saline solution, partial or total sternectomy associated to reconstruction of muscle flaps or caul, in addition to adjuvant therapies, such as the system of vacuum-assisted therapy and hyperbaric oxygenation [8][9][10][11][12].…”
Section: Introductionmentioning
confidence: 99%
“…Therapeutic options for the treatment of mediastinitis include debridement with early or late closure of the chest, debridement and closure with continuous irrigation using 0.9% saline solution, partial or total sternectomy associated to reconstruction of muscle flaps or caul, in addition to adjuvant therapies, such as the system of vacuum-assisted therapy and hyperbaric oxygenation [8][9][10][11][12].…”
Section: Introductionmentioning
confidence: 99%
“…There was no difference between the number of deaths among patients who developed infections (7, 5.1%) or not (23, 4.1%), P = 0.716. 3.60] were the predictors of the outcome of infection (P <0.001), even after adjustment. There was no interaction between time spent with central venous catheters and the presence of DM (P = 0.215 ).…”
Section: Resultsmentioning
confidence: 96%
“…Treatment for coronary artery bypass graft (CABG) has been shown to improve survival in patients with severe coronary artery disease [1]. However, several studies have shown, after heart surgery, still significant rate of postoperative complications, especially superficial and shallow infections [2][3][4][5][6][7][8]. A multicenter study conducted in Australia showed that of 4,474 patients undergoing CABG, the risk of wound infection was 4.5 to 10.7 per 100 procedures.…”
Section: Introductionmentioning
confidence: 99%
“…A infecção de órgão/cavidade é uma grave complicação infecciosa no pós-operatório de cirurgia cardíaca, com incidência de 0,4 a 5% e mortalidade entre 6 e 70% 1 . Trata-se de uma infecção profunda da ferida operatória com evidência clínica e/ou microbiológica do comprometimento do espaço retroesternal, associada à osteomielite, resultando em uma ferida complexa 2 .…”
Section: Introductionunclassified