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[The infected sternotomy].

D Montandon1

  • 1Département de chirurgie, Hôpital cantonal universitaire, Genève.

Helvetica Chirurgica Acta
|July 1, 1991
PubMed
Summary
This summary is machine-generated.

Active surgical treatment, including debridement and flap closure, is the primary approach for sternotomy wound infections. For refractory cases, specialized flap techniques and mediastinal drainage are life-saving interventions.

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Area of Science:

  • Surgical Oncology
  • Thoracic Surgery
  • Wound Healing

Context:

  • Sternotomy is a common surgical procedure, but wound infections can lead to significant complications.
  • Managing deep sternal wound infections requires effective surgical intervention.

Purpose:

  • To outline the current best practices for surgical treatment of sternotomy wound infections.
  • To describe alternative surgical strategies for refractory cases.

Summary:

  • Active surgical treatment, involving debridement and wound closure with various flaps (omentum, rectus abdominis, latissimus dorsi, pectoralis major), is the standard for sternotomy wound infections.
  • In persistent cases, thorough debridement combined with bipedicled pectoralis major and rectus fascio-cutaneous flaps, along with mediastinal drainage, is recommended.

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  • Thoracic wall stabilization and dead space filling are not considered mandatory.

    • Impact:

    • This approach aims to improve patient outcomes and reduce morbidity associated with sternotomy wound infections.
    • Highlights the importance of tailored surgical strategies for complex cases, potentially saving lives.