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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

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

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2016 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-016-1210-x
Publisher site
See Article on Publisher Site

Abstract

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

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jun 7, 2016

References

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