Journal article

Changes in the management of deep sternal wound infections: a 12-year review

Sarah Lonie, Jane Hallam, Michael Yii, Philip Davis, Andrew Newcomb, Ian Nixon, Alexander Rosalion, Sophie Ricketts

ANZ Journal of Surgery | WILEY-BLACKWELL | Published : 2015

Abstract

BACKGROUND: Deep sternal wound infection (DSWI) is a rare but life-threatening complication following cardiac surgery associated with increased morbidity and mortality. Management of these patients has evolved over the years and can include sternal rewiring, mediastinal irrigation, negative-pressure wound therapy (NPWT) dressing or repair with flaps. We reviewed changes in our management of DSWI and outcomes. METHODS: Using the Australian and New Zealand Society of Cardiac and Thoracic Surgeons database, 5472 underwent cardiac surgery at St Vincent's Hospital, Melbourne, and 42 were identified as developing DSWI requiring re-operation between June 2002 and September 2014. Data were collected..

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