Sternal osteomyelitis: use of vacuum-assisted closure device as an adjunct to definitive closure with sternectomy and muscle flap reconstruction

Journal of Cardiac Surgery
Lynette SchollJames Chang

Abstract

Sternal osteomyelitis following cardiac surgery often requires debridement and flap coverage. The VAC (vacuum-assisted closure) device has been useful in complex wound coverage. A retrospective review of a single surgeon's experience with sternal reconstruction using the VAC device as an adjunct to debridement and muscle flap reconstruction was performed. Thirteen consecutive patients over a 34-month period underwent debridement and reconstruction of sternal wounds. Eleven patients (85%) were males, and two (15%) were females. Mean age was 61 years (range: 43-73 years). Acute purulent sternal infections occurred in seven patients, while chronic sternal osteomyelitis was seen in six patients. Use of the VAC device during the perioperative period was evaluated. Of the 13 patients, the VAC device was used prior to flap closure in six patients, and after flap closure in two patients. Sternal debridement with bilateral pectoralis muscle flaps was used to reconstruct 12 patients, and one patient underwent debridement only with VAC placement. All 13 patients (100%) had complete closure of their complex wounds at an average of follow-up of 14 months. The VAC device is useful in the treatment of sternal osteomyelitis in three contexts: ...Continue Reading

References

Oct 1, 1989·The Surgical Clinics of North America·P G Arnold, P C Pairolero
Jul 1, 1986·The Annals of Thoracic Surgery·P C Pairolero, P G Arnold
Feb 1, 1994·Plastic and Reconstructive Surgery·P G ArnoldP C Pairolero
Jul 14, 1999·Annals of Plastic Surgery·L M GolosowJ J Coleman
Jan 5, 2000·The Annals of Thoracic Surgery·M C ObdeijnW J de Boer
Apr 11, 2001·Annals of Plastic Surgery·R E HershD B Drake
May 1, 2002·The Thoracic and Cardiovascular Surgeon·J F GummertA Diegeler
May 23, 2002·The Journal of Thoracic and Cardiovascular Surgery·Ronny GustafssonRichard Ingemansson

❮ Previous
Next ❯

Citations

Sep 12, 2008·The Journal of Trauma·Christian KoehlerVolker Wedler
Jul 5, 2008·Journal of Spinal Disorders & Techniques·Avraam PloumisJohn E Lonstein
Jun 5, 2007·Journal of the American Veterinary Medical Association·April E GuilleRobert J Orsher
Mar 18, 2008·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Martin SimekMilan Kolar
Sep 16, 2008·American Journal of Surgery·Ersin OzturkTuncay Yilmazlar
Oct 31, 2007·Clinics in Plastic Surgery·James T Thompson, Malcolm W Marks
Mar 22, 2007·International Journal of Antimicrobial Agents·Simeon MetallidisGeorgios Theodoridis
Sep 24, 2008·International Wound Journal·Estas BovillUNKNOWN International Advisory Panel on Topical Negative Pressure
Oct 13, 2006·International Journal of Antimicrobial Agents·Simeon MetallidisPavlos Nikolaidis
Sep 21, 2010·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Angelo PanUNKNOWN GISIG (Gruppo Italiano di Studio sulle Infezioni Gravi) Working Group on Complicated Skin and Skin-Structure Infections
Feb 8, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K V LambertM McCarthy
Nov 3, 2015·The Annals of Thoracic Surgery·I-han ChiangChih-Hsin Wang
Feb 16, 2017·International Wound Journal·Federico Lo TortoBruno Carlesimo
Feb 15, 2014·Journal of Wound Care·A MustafaA Alkhulaifi
Jun 27, 2006·Plastic and Reconstructive Surgery·Louis C ArgentaLisa R David
Feb 14, 2007·Journal of the Royal Army Medical Corps·N HaldipurS Sanyal
Mar 7, 2006·Expert Review of Medical Devices·Christina M Plikaitis, Joseph A Molnar
Sep 1, 2020·The International Journal of Lower Extremity Wounds·Suphot ChattinnakornApichai Angspatt
Nov 6, 2012·Annals of Plastic Surgery·Eric I ChangGeorge H Rudkin
Mar 13, 2014·The International Journal of Artificial Organs·Giuseppe SantarpinoTheodor J Fischlein
Apr 13, 2019·Journal of Wound Care·Fatma Nihal Durmus KocaaslanOzhan Celebiler
Jul 3, 2013·Journal of Biomaterials Applications·Adel M F Alhalawani, Mark R Towler
Feb 1, 2021·Journal of Reconstructive Microsurgery·Kuan-Ying WangKuo-Chung Yang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.