Journal article

Impact of vacuum-assisted closure therapy on outcomes of sternal wound dehiscence(aEuro)

Vincenzo Tarzia, Massimiliano Carrozzini, Giacomo Bortolussi, Edward Buratto, Jonida Bejko, Marina Comisso, Valentina Mescola, Valentina Penzo, Mauro Guarino, Marco De Franceschi, Chiara Pagnin, Massimo Castoro, Cosimo Guglielmi, Luca Testolin, Tomaso Bottio, Gino Gerosa

INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY | OXFORD UNIV PRESS | Published : 2014

Abstract

OBJECTIVES: Sternal wound dehiscence (SWD) after cardiac surgery is a rare but serious condition associated with considerable costs and morbidity. We sought to evaluate the results of the introduction of vacuum-assisted closure (VAC) therapy in the management of sternal wound dehiscence, compared with those of previous conventional treatments. METHODS: We retrospectively collected 7148 patients who underwent cardiac surgery at our institution between January 2002 and June 2012. A total of 152 (2.1%) patients had a sternal wound dehiscence: 107 were treated with conventional treatments (Group A) and 45 were managed with VAC therapy (Group B). Patients were stratified according to preoperative..

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