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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
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The Thoracic Cage: Sternum01:17

The Thoracic Cage: Sternum

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The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
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Mitral Stenosis III: Medical Management01:26

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Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
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Pneumothorax-II01:27

Pneumothorax-II

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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
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Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

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A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Related Experiment Video

Updated: Feb 19, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Sternal reconstruction after post-sternotomy mediastinitis.

Pankaj Kaul1

  • 1Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK. pankajkaul784@btinternet.com.

Journal of Cardiothoracic Surgery
|November 4, 2017
PubMed
Summary
This summary is machine-generated.

Deep sternal wound complications after cardiac surgery are now less severe due to improved asepsis and understanding of risk factors. Advanced therapies like negative pressure wound therapy and flap reconstruction significantly improve patient outcomes.

Keywords:
Allogeneic bone graftsDeep sternal wound infectionsFree flapsLatissimus dorsi flapsMediastinitisNegative pressure wound therapyOmental graftsPectoralis major flapsRectus abdominis flapsSternal dehiscence

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Area of Science:

  • Cardiovascular Surgery
  • Infectious Disease
  • Wound Management

Background:

  • Deep sternal wound complications (DSWC), including sternal dehiscence, infection, and mediastinitis, are infrequent but serious sequelae of cardiac surgery.
  • These conditions are often viewed as manifestations of a single underlying pathological process.

Purpose of the Study:

  • To provide a comprehensive review of DSWC following cardiac surgery.
  • To discuss the definition, incidence, risk factors, prevention, diagnosis, microbiology, and management strategies for DSWC.

Main Methods:

  • Literature review focusing on DSWC after cardiac surgery.
  • Emphasis on negative pressure wound therapy (NPWT) and reconstructive plastic surgery techniques (muscle and omental flaps).

Main Results:

  • DSWC are no longer associated with high morbidity and mortality rates.
  • Improved aseptic techniques and a better understanding of predisposing factors have reduced DSWC incidence.

Conclusions:

  • Advances in DSWC management, including NPWT and flap reconstruction, have transformed patient outcomes.
  • Early recognition and appropriate surgical intervention are key to successful DSWC treatment.