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Dehiscence after
Median Sternotomy
{ Surgical treatment versus secondary
wound healing
Superficial wound dehiscnece after midline sternotomy is
considered a minor complication in cardiac surgery, although
it is quite frequent and requires prolonged medical treatment
Background
2400 consecutive patients underwent median sternotomy for
open heart surgery
Comment
The mean length of treatment was 29.7 days (range 2 to 144
days) for group 1 (Secondary Wound Healing)
Results
Results
Results
Median Sternotomy is currently used in most cardiac
surgical procedures
Comment
Surgical techniques also play in a major role in wound
dehiscence
Comment
Comment
Recently, a vaccum assisted closure (VAC) system or also
called Negative Pressure Wound Treatmen (NPWT) used
to treat wound dehiscence related to cardiac surgery
Comment
Comment
Faster healing means reduced cost and reduced ambulatory care,
because patients needs repeated medications would return to the
hospital for treatment
Comment
Aggressive surgical debridement and primary closure if
superficial wound dehiscence after median sternotomy
seems to be safe and effective
conclusion
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