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The Duration of Negative Pressure Wound Therapy Can Be Reduced Using the HeartShield Device in Patients With Deep
Richard Ingemansson1, Malin Malmsjö2, Sandra Lindstedt1
1Department of Cardiothoracic Surgery, Lund University and Skåne University Hospital, Lund, Sweden.
Background:
Heart rupture resulting in lethal bleeding is a devastating complication associated with negative pressure wound therapy (NPWT) in patients with deep sternal wound infection (DSWI). We have previously reported that the use of a protective HeartShield device in combination with NPWT decreases the risk of damage to the heart. This article presents a retrospective analysis of NPWT duration with and without the HeartShield device.
Subjects And Patients:
The study included 6 patients treated with the HeartShield device in combination with NPWT and 6 patients treated with conventional NPWT during the same time period. The duration of active treatment time was measured.
Results:
The median duration of NPWT was 8 days (range: 6-14 days) in the HeartShield device NPWT group and 14 days in the conventional group (range: 10-18 days). The difference was statistically significant (P < .05).
Conclusions:
It appears that the treatment of patients with DSWI with the HeartShield device reduces the duration of NPWT.
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