Irrigation-suction System for Management of Deep Sternal Wound Infection after Open Heart Surgery: Four cases.
- Author:
Sang Ik KIM
1
;
Sang Joon OH
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Eulji Hospital, Eulji University School of Medicine, Daejeon, Korea.
- Publication Type:Case Report
- Keywords:
Sternotomy;
Mediastinitis;
Wound infection;
Irrigation
- MeSH:
Debridement;
Diagnosis;
Heart*;
Mediastinitis;
Mortality;
Sternotomy;
Thoracic Surgery*;
Wound Infection*;
Wounds and Injuries*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2003;36(6):431-435
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Deep sternal wound infection (with or without acute mediastinitis) is a serious complication of open heart surgery, with high rates of associated morbidity and mortality, and prolonged hospitallization. The result of treatment largely depends on timely diagnosis and appropriate surgical management. Postoperative deep sternal wound infections in 4 cases were successfully treated with extensive debridement, pressurized jet irrigation with antibiotic solution, sternal refixation by Robicsek method, and dilute antibiotic irrigation via irrigation-suction system. We report 4 cases with review of articles.