A combination of hydrodebridement with pulsed lavage and negative pressure wound therapies may enhance outcomes

Abstract

Deep sternal wound infection (DSWI) with prosthetic graft infection is a rare, though lethal, complication after cardiovascular surgery via median sternotomy. This commentary is a review of a report by Takagi et al. published in the Journal of Cardiac Surgery that reported favorable outcomes in patients with DWSI with prosthetic graft infection treated with an enhanced strategy consisting of hydrodebridement with pulsed lavage and negative pressure wound therapies.

Evaluating the efficacy of combined flap coverage, antibiotic‐loaded bone cement and negative pressure irrigation in traumatic osteomyelitis management

“…This approach not only facilitates wound closure but also promotes vascularization, which is crucial for healing and fighting infection 19 . However, despite its effectiveness in providing immediate structural repair, flap coverage alone often falls short in addressing the underlying infection, a critical aspect of osteomyelitis management 20 . Complementing skin flap coverage, negative pressure wound therapy (NPWT) has emerged as a significant adjunctive treatment 21 .…”

“… 19 However, despite its effectiveness in providing immediate structural repair, flap coverage alone often falls short in addressing the underlying infection, a critical aspect of osteomyelitis management. 20 Complementing skin flap coverage, negative pressure wound therapy (NPWT) has emerged as a significant adjunctive treatment. 21 This technique employs a vacuum‐assisted closure to promote wound healing by reducing oedema, enhancing blood flow and encouraging the formation of granulation tissue.…”