A2 Refereed review article in a scientific journal
Deep sternal wound infections: Evidence for prevention, treatment, and reconstructive surgery
Authors: Schiraldi L, Jabbour G, Centofanti P, Giordano S, Abdelnour E, Gonzalez M, Raffoul W, di Summa PG
Publisher: KOREAN SOC PLASTIC & RECONSTRUCTIVE SURGERY
Publication year: 2019
Journal: Archives of Plastic Surgery
Journal name in source: ARCHIVES OF PLASTIC SURGERY-APS
Journal acronym: ARCH PLAST SURG-APS
Volume: 46
Issue: 4
First page : 291
Last page: 302
Number of pages: 12
ISSN: 2234-6163
DOI: https://doi.org/10.5999/aps.2018.01151
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/41853565
Median sternotomy is the most popular approach in cardiac surgery. Post-sternotomy wound complications are rare, but the occurrence of a deep sternal wound infection (DSWI) is a catastrophic event associated with higher morbidity and mortality, longer hospital stays, and increased costs. A literature review was performed by searching PubMed from January 1996 to August 2017 according to the guidelines in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The following keywords were used in various combinations: DSWI, post-sternotomy complication, and sternal reconstruction. Thirty-nine papers were included in our qualitative analysis, in which each aspect of the DSWI-related care process was analyzed and compared to the actual standard of care. Plastic surgeons are often involved too late in such clinical scenarios, when previous empirical treatments have failed and a definitive reconstruction is needed. The aim of this comprehensive review was to create an up-to-date operative flowchart to prevent and properly treat sternal wound infection complications after median sternotomy.
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