Application of delayed sternal closure after neonatal cardiac surgery
10.3760/cma.j.issn.1001-4497.2016.05.001
- VernacularTitle:延迟关胸在新生儿先天性心脏病术后的应用
- Author:
Xiaofeng LI
;
Dandong LUO
;
Weizhong ZHU
;
Weiping XIONG
;
Jian ZHUANG
- Publication Type:Journal Article
- Keywords:
Delayed sternal closure;
Infant,newborn;
Cardiac surgical procedure;
Median sternotomy;
Surgical wound infection
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2016;32(5):257-260
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application of delayed sternal closure (DSC) following neonatal cardiac surgery.Methods We retrospectively analyzed clinical data of 360 neonatal patients underwent cardiac surgery through median sternotomy in Guangdong General Hospital between June 2009 and June 2014.These neonates were divided into 2 groups:DSC group (190 cases) and non-DSC group(170 cases).Comparing the differences between 2 groups,we analysed the application of DSC following neonatal cardiac surgery and the effect of DSC on surgical site infection.Results The cardiopulmonary bypass time,cross clamp time and mechanical ventilation time were longer in DSC group than in non-DSC group.The mortality rate in the DSC group(20.53％) was markedly higher than that in the non-DSC group(5.29％).However,there was no statistical difference in the incidence of sternal wound infection between 2 groups.Conclusion As an effective treatment for neonates with severe cardiac surgery,DSC doesn' t increase the incidence of surgical site infection.
