Mediastinitis After Cardiovascular Operations: A Case-Control Study of Risk Factors

Bitkover, Catarina; Gårdlund, Bengt

doi:10.1016/s0003-4975(97)01003-5

Cited by 167 publications

(71 citation statements)

References 22 publications

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“…Diabetes was associated with a higher rate of SWI, in accordance with some studies [7,10] and in contrast with others [1,4,5,19,20]. A high BMI was identified as an important risk factor for SWI, and is supported by the majority of studies on this topic [2,4,5,10].…”

Section: Duringsupporting

confidence: 80%

Fatores de risco para infecção de ferida esternal e aplicação do escore da STS em pacientes submetidos à cirurgia de revascularização miocárdica

Farsky

Graner

Duccini

et al. 2011

Rev Bras Cir Cardiovasc

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Section: Duringsupporting

confidence: 80%

Fatores de risco para infecção de ferida esternal e aplicação do escore da STS em pacientes submetidos à cirurgia de revascularização miocárdica

Farsky

Graner

Duccini

et al. 2011

Rev Bras Cir Cardiovasc

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“…It is expected that patients who are reoperated have increased risk of COPD was the second most associated factor with mediastinitis at our institution. Other studies have shown the correlation of chronic obstructive pulmonary disease and mediastinitis [12]. Chronic obstructive pulmonary disease causes mechanical problems, leading to sternum instability, which in those cases may suggest the harmful effect of smoking in the pathophysiology of mediastinal infection as well.…”

Section: Discussionmentioning

confidence: 97%

Validação do MagedanzSCORE como preditor de mediastinite após cirurgia de revascularização miocárdica

Sá¹,

Figueira²,

Santos³

et al. 2011

Rev Bras Cir Cardiovasc

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“…An unstable sternotomy can increase postoperative sternal pain, which can lead to atelectasis and pneumonia, secondary to a decreased inspiratory effort [9] . Other serious complications related to instability include sternal dehiscence, deep sternal infection, fulminant medistinitis, osteomylelitis, and chronic sternal instability [4,[24][25][26] . These complications are associated with a 14% to 47% mortality rate [4] .…”

Section: Discussionmentioning

confidence: 99%

Comparison of straight median sternotomy and interlocking sternotomy with respect to biomechanical stability

Küçükdurmaz

Ağır²,

Bezer³

2013

WJO

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AIM:To increase the stability of sternotomy and so decrease the complications because of instability. METHODS:Tests were performed on 20 fresh sheep sterna which were isolated from the sterno-costal joints of the ribs. Median straight and interlocking sternotomies were performed on 10 sterna each, set as groups 1 and 2, respectively. Both sternotomies were performed with an oscillating saw and closed at three points with a No. 5 straight stainless-steel wiring. Fatigue testing was performed in craniocaudal, anterio-posterior (AP) and lateral directions by a computerized materials-testing machine cycling between loads of 0 to 400 N per 5 s (0.2 Hz). The amount of displacement in AP, lateral and craniocaudal directions were measured and also the op- posing bone surface at the osteotomy areas were calculated at the two halves of sternum. BRIEF ARTICLE RESULTS:The mean displacement in cranio-caudal direction was 9.66 ± 3.34 mm for median sternotomy and was 1.26 ± 0.97 mm for interlocking sternotomy, P < 0.001. The mean displacement in AP direction was 9.12 ± 2.74 mm for median sternotomy and was 1.20 ± 0.55 mm for interlocking sternotomy, P < 0.001. The mean displacement in lateral direction was 8.95 ± 3.86 mm for median sternotomy and was 7.24 ± 2.43 mm for interlocking sternotomy, P > 0.001. The mean surface area was 10.40 ± 0.49 cm² for median sternotomy and was 16.8 ± 0.78 cm² for interlocking sternotomy, P < 0.001. The displacement in AP and cranio-caudal directions is less in group 2 and it is statistically significant. Displacement in lateral direction in group 2 is less but it is statistically not significant. Surface area in group 2 is significantly wider than group 1. CONCLUSION:Our test results demonstrated improved primary stability and wider opposing bone surfaces in interlocking sternotomy compared to median sternotomy. This method may provide better healing and less complication rates in clinical setting, further studies are necessary for its clinical implications.

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Mediastinitis After Cardiovascular Operations: A Case-Control Study of Risk Factors

Cited by 167 publications

References 22 publications

Fatores de risco para infecção de ferida esternal e aplicação do escore da STS em pacientes submetidos à cirurgia de revascularização miocárdica

Fatores de risco para infecção de ferida esternal e aplicação do escore da STS em pacientes submetidos à cirurgia de revascularização miocárdica

Validação do MagedanzSCORE como preditor de mediastinite após cirurgia de revascularização miocárdica

Comparison of straight median sternotomy and interlocking sternotomy with respect to biomechanical stability

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