Impact of vacuum-assisted closure device in the treatment of sternal wound infection

Farghaly, Awatef E; Allama, Amr M; Nashy, Medhat R; Sha’aban, Khaled A.

doi:10.4103/1110-2098.215471

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…To add to our results Kamel et al, [27] shows that obesity is common in patients with DSWI (58.33% of patients were obese). This agrees with a study conducted by Sha'aban et al, [29] reported that the incidence of obesity in DSWI patients was 70%.…”

Section: Discussionsupporting

confidence: 93%

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Using of Vacuum Assisted Closure System in Treatment of Post Sternotomy Mediastinitis Systematic Review and Meta-Analysis

MAABOUD¹,

ELNAHAS

2022

The Medical Journal of Cairo University

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Background: The median sternotomy incision was first described for use in cardiac surgery by Julian and colleagues in 1957. They demonstrated discrete advantages of the median sternotomy incision for cardiac surgery, particularly, improved surgical efficiency, excellent exposure of the heart, great vessels and pulmonary hila, and reduced pulmonary trauma. This was a convincing argument for median sternotomy as the incision of choice for cardiac surgical procedures. Aim of Study:The present study was the evaluation of the efficacy and safety of using of vacuum assisted closure system in treatment of post sternotomy mediastinitis. Material and Methods:A search of the scientific literature was carried out querying electronic databases to identify relevant studies about VAC therapy and post sternotomy mediastinitis: PubMed, Embase, Cochrane Library, Dare, Sumsearch and Scirus.Results: Application of inclusion and exclusion criteria to study abstracts yielded 8 articles. A total of 400 studies were identified from the database search. After review, a total of 11 studies were selected. This systematic review and metaanalysis conducted among 11 studies and aimed at evaluation for the efficacy and safety of VAC in treatment of sternal wound infection. Conclusion:This meta-analysis concluded that VAC when used in treatment of DSWI, can lower mortality and ICU admission days. Diabetes and obesity were common among those who had deep sternal wound infection.

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Section: Discussionsupporting

confidence: 93%

“…This agrees with a study conducted by Schroeyers et al, [28] in which the incidence of diabetes was 51%. Similar findings were found in a retrospective study conducted by Simek et al, [25] in which the incidence of diabetes was 59% and Sha'aban et al, [29] reported that the incidence of diabetes in DSWI patients was 53.3%.…”

Section: Discussionsupporting

confidence: 90%

Using of Vacuum Assisted Closure System in Treatment of Post Sternotomy Mediastinitis Systematic Review and Meta-Analysis

MAABOUD¹,

ELNAHAS

2022

The Medical Journal of Cairo University

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Vacuum Assisted Closure Versus Conventional Surgical Techniques in Treatment of Post-Sternotomy Mediastinitis

Kamel

Elhendawy

2021

The Egyptian Journal of Hospital Medicine

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Background: In cardiac surgery patients, post-sternotomy mediastinitis, also known as deep sternal wound infection (DSWI), is a major cause of postoperative morbidity and mortality. Negative pressure wound therapy (NPWT), also known as vacuum assisted closure (VAC) dressing, is one therapeutic alternative that offers the following advantages: regulation of fluid drainage, reduction of local edema, and bacterial load reduction, and early development of granulation tissue by angiogenic stimulation. By acting topically with a low complication rate, offering greater comfort to the medical team and patient, and reducing hospitalization time, antibiotic usage, and dressing changes, this therapy has become an important and efficient method for fighting infection in complex wounds. Objective: To evaluate the effectiveness and clinical outcome of vacuum-assisted closure (VAC) therapy in the treatment of post-sternotomy mediastinitis in comparison with conventional treatment. Patients and methods: This study was conducted in National Heart Institute (NHI), Egypt. Patients were hospitalized from March 2019 to March 2020. It included patients with post-sternotomy mediastinitis treated with conventional therapy and VAC divided in two groups each group contained 30 patients. Results: The duration of VAC therapy was 7.42±2.23 days. Mean hospital stay after VAC therapy was 12.18±1.92 days. Twenty-two (92%) patients were treated successfully. At the end of VAC therapy, the mean reduction in wound size was 31.7%. The mean granulation tissue formation was 59%. Conclusion: VAC is a safe, reliable, and relatively new option for the treatment of DSWI after cardiac surgery. VAC is an alternative to conventional treatment in wound healing strategy in post-sternotomy mediastinitis.

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Impact of vacuum-assisted closure device in the treatment of sternal wound infection

Cited by 2 publications

References 2 publications

Using of Vacuum Assisted Closure System in Treatment of Post Sternotomy Mediastinitis Systematic Review and Meta-Analysis

Using of Vacuum Assisted Closure System in Treatment of Post Sternotomy Mediastinitis Systematic Review and Meta-Analysis

Vacuum Assisted Closure Versus Conventional Surgical Techniques in Treatment of Post-Sternotomy Mediastinitis

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