Deep sternal wound complications: an overview of old and new therapeutic options
Leopold Rupprecht1, Christof Schmid1
1Department of Cardiothoracic Surgery, University Medical Center, Regensburg, Germany.
Open Journal of Cardiovascular Surgery
|December 17, 2014
Insights
Deep sternal wound complications after open heart surgery remain a challenge. This review overviews current surgical strategies for treating these difficult sternal wound complications.
Area of Science:
- Cardiothoracic Surgery
- Surgical Complications
Background:
- Deep sternal wound complications are a significant problem following open heart surgery.
- Existing treatment modalities lack a universally accepted gold standard.
- These complications present a considerable challenge to cardiothoracic surgeons.
Purpose of the Study:
- To provide an overview of preferred surgical strategies for managing deep sternal wound complications.
- To summarize current approaches in cardiothoracic surgery for sternal wound infections.
Main Methods:
- Literature review of surgical strategies for deep sternal wound complications.
- Analysis of treatment modalities employed by cardiothoracic surgeons.
Main Results:
- Several surgical strategies exist for treating deep sternal wound complications.
- Few treatment options have been widely adopted into routine clinical practice.
- A definitive gold standard for surgical management is yet to be established.
Conclusions:
- Management of deep sternal wound complications requires careful consideration of various surgical techniques.
- Further research and consensus are needed to define a gold standard surgical approach.
Abstract:
Deep sternal wound complications represent a significant problem in current open heart surgery and still pose a tremendous challenge to surgeons. Over the years, many treatment modalities have been proposed, but only few found their way into daily clinical practice of cardiothoracic surgeons. A gold standard has not been defined yet. This review was designed to give an overview of the preferred surgical strategies.
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