Successful treatment of deep sternal infections following open heart surgery by bilateral pectoralis major flaps

Klesius, Armin; Dzemali, Omer; Simon, A; Kleine, Peter; Abdel-Rahman, Ulf; Herzog, Christopher; Wimmer‐Greinecker, Gerhard; Moritz, Anton

doi:10.1016/j.ejcts.2003.11.019

Cited by 59 publications

(55 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…All of our patients had a P 01 /P imax far below 7%, indicating that no pulmonary exhaustion was impending. These findings correlate to the findings of other authors [9,[35][36][37][38], who describe only moderate changes in pulmonary function from pre-to postoperative after thoracic wall resection.…”

Section: Pulmonary Functionsupporting

confidence: 94%

Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests

Daigeler

Druecke

Hakimi

et al. 2008

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

Section: Pulmonary Functionsupporting

confidence: 94%

Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests

Daigeler

Druecke

Hakimi

et al. 2008

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

“…Disturbance of wound healing followed by sternal and mediastinal infection occurs in 0.4-8 % after heart thoracic surgery and is followed by high rates of mortality (14-50 %). Postoperative sternum osteomyelitis after median sternotomy occurs in 0.8-8 % (Grossi et al 1985;Klesius et al 2004;Loop et al 1990). The spread of bone infection depends on various influencing factors, e.g., virulence of the pathogen, implanted surgical devices, soft tissue damage, bone vascularization, and bone damage.…”

Section: Postoperative Sternum Osteomyelitismentioning

confidence: 98%

Staphylococcus aureus-Associated Musculoskeletal Infections

Idelevich

Kreis

Löffler

et al. 2016

Current Topics in Microbiology and Immunology

View full text Add to dashboard Cite

Musculoskeletal infections caused by Staphylococcus aureus are among the most difficult-to-treat infections. S. aureus osteomyelitis is associated with a tremendous disease burden through potential for long-term relapses and functional deficits. Although considerable advances have been achieved in diagnosis and treatment of osteomyelitis, the management remains challenging and impact on quality of life is still enormous. S. aureus acute arthritis is relatively seldom in general population, but the incidence is considerably higher in patients with predisposing conditions, particularly those with rheumatoid arthritis. Rapidly destructive course with high mortality and disability rates makes urgent diagnosis and treatment of acute arthritis essential. S. aureus pyomyositis is a common disease in tropical countries, but it is very seldom in temperate regions. Nevertheless, the cases have been increasingly reported also in non-tropical countries, and the physicians should be able to timely recognize this uncommon condition and initiate appropriate treatment. The optimal management of S. aureus-associated musculoskeletal infections requires a strong interdisciplinary collaboration between all involved specialists.

show abstract

“…A range of overall surgical strategies have been used, from reconstruction in every case, to a more selective approach depending on findings [40]. Reconstruction techniques include sternal rewiring [10], pectoralis or rectus muscle and omental flap rotation [39,41,42].…”

Section: Current Treatment Of Deep Sternal Wound Infectionmentioning

confidence: 99%

The role of hyperbaric oxygen therapy in the treatment of sternal wound infection

Mills

Bryson²

2006

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

Sternal wound dehiscence and infection are major problems for patients and health care providers. A range of risk factors, including diabetes, obesity and internal thoracic artery harvest, has been implicated. Several pathophysiological mechanisms, which may account for the development of infection, have been proposed. There is a growing body of evidence which suggests that sternal ischaemia may play a significant role in the initiation of wound infection, and that this may be exacerbated by harvest of the internal thoracic artery. Current treatments for infection include wound debridement, irrigation and tissue flap reconstruction. In addition, several novel therapies such as negative pressure dressings have been shown to be safe and useful. Hyperbaric oxygen therapy - the administration of 100% oxygen at pressures greater than atmospheric pressure - is widely used in the treatment of various chronic wounds. The mechanism whereby hyperbaric oxygen exerts its effects is being elucidated and there is a growing body of clinical evidence that supports its use. It has been suggested that there may be a role for hyperbaric oxygen therapy in the treatment of sternal infection. The theoretical mechanisms would seem plausible, but at present there is only limited evidence to support its use. This review addresses the theory and evidence supporting the role of hyperbaric oxygen therapy in the treatment of sternal wound infection.

show abstract

Successful treatment of deep sternal infections following open heart surgery by bilateral pectoralis major flaps

Cited by 59 publications

References 20 publications

Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests

Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests

Staphylococcus aureus-Associated Musculoskeletal Infections

The role of hyperbaric oxygen therapy in the treatment of sternal wound infection

Contact Info

Product

Resources

About