Eur J Plast Surg (2016) 39:471–472 DOI 10.1007/s00238-016-1210-x SHORT COMMUNICATION Median poststernotomy dehiscence reconstruction—anew classification for selection of the best procedure 1,2,3 1,2 1,2 1 1 Diana Monteiro & Ricardo Horta & José Amarante & Pedro Silva & Álvaro Silva Received: 5 February 2016 /Accepted: 19 May 2016 /Published online: 7 June 2016 Springer-Verlag Berlin Heidelberg 2016 Poststernotomy mediastinitis is a rare but life-threatening compli- bone loss and a relatively stable sternum are found at debride- cation with an incidence of 0.4 to 5 % of cardiac procedures and a ment, and patients in these groups are best treated by drainage, threefold increase in overall costs. Optimal management is still debridement with or without resuturing of sternum and imme- controversial. The mortality rate remains high, ranging from 5 to diate flap closure with obliteration of dead space. Type III is recognized by loss of sternal stability and viable 47 %, with a recurrence of approximately 20 % [1–4]. A variety of surgical treatment techniques were recently described, resulting bone allowing rigid fixation with wires, plates, or clips. Available to the need of a classification bringing a measure of objectivity to evidence favors extensive debridement and wound management the management
European Journal of Plastic Surgery – Springer Journals
Published: Jun 7, 2016
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