2014
DOI: 10.1186/s13019-014-0179-4
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Abstract: Early recognition and, where possible, avoidance of risk factors that contribute to the development of poststernotomy mediastinitis (PSM) form the basis for successful prevention. Once the presence of PSM is diagnosed, the known risk factors have been shown to have limited influence on management decisions. Evidence-based knowledge on treatment decisions, which include the extent and type of surgical intervention (other than debridement), timing and others is available but has not yet been incorporated into a … Show more

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Cited by 40 publications
(17 citation statements)
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“…In a recent and comprehensive review, van Wingerden et al [10] classified post-sternotomy mediastinitis into four groups, suggesting surgical approaches based on the available evidence (see Table 4).…”
Section: Management Principlesmentioning
confidence: 99%
“…In a recent and comprehensive review, van Wingerden et al [10] classified post-sternotomy mediastinitis into four groups, suggesting surgical approaches based on the available evidence (see Table 4).…”
Section: Management Principlesmentioning
confidence: 99%
“…Yet, a recent and first study to combine the level of evidence with the level of recommendation, showed the omentum to be eminently suitable for a delayed primary reconstruction in early cases. 2 Another valuable observation emanating from the current study is, it demonstrates that, in due course, the vascular pedicle of the transposed omentum becomes independent. Knowledge of dependence is relevant where re-entry for either reoperative cardiac surgery or repair of a hernia is ineluctable.…”
mentioning
confidence: 62%
“…However, the trend of treating this condition appears to have shifted from the previous conservative sternal preserving procedures towards more aggressive reconstructive surgical solutions. This is based on an aggressive sternal debridement, even at the expense of partial or total sternectomy . This treatment policy has led to the need of plastic surgical interventions to reconstruct wounds after radical debridement.…”
Section: Discussionmentioning
confidence: 99%