Median poststernotomy dehiscence reconstruction—a new classification for selection of the best procedure

Median poststernotomy dehiscence reconstruction—a new classification for selection of the best... 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

Median poststernotomy dehiscence reconstruction—a new classification for selection of the best procedure

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Springer Berlin Heidelberg
Copyright © 2016 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
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