Wound complications after median sternotomy: a single-centre study

Heilmann, Claudia; Stahl, Rahel; Schneider, Christian; Sukhodolya, T; Siepe, Matthias; Olschewski, Manfred; Beyersdorf, Friedhelm

doi:10.1093/icvts/ivs554

Cited by 80 publications

(67 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…CABG, coronary artery bypass graft; HTx, heart transplantation; NPS, no prior sternotomy; VAD, ventricular assist device; SE, standard error. difference in the frequency of infection or sternum infection between both groups [3,5,7,12], whereas others found an higher incidence of infection, drug-treated infection, or death caused by infection in PS group patients [6,8,9,13]. Our analysis of the UNOS database showed an higher incidence of drug-treated infections in PS group patients [10].…”

Section: Figmentioning

confidence: 55%

Prior Sternotomy Increases the Mortality and Morbidity of Adult Heart Transplantation

Awad¹,

Czer²,

Mirocha³

et al. 2015

Transplantation Proceedings

View full text Add to dashboard Cite

Section: Figmentioning

confidence: 55%

Prior Sternotomy Increases the Mortality and Morbidity of Adult Heart Transplantation

Awad¹,

Czer²,

Mirocha³

et al. 2015

Transplantation Proceedings

View full text Add to dashboard Cite

“…A high BMI has been associated with postoperative atrial fibrillation [25], superficial infection [26], deep sternal infection [27], and readmission to the intensive care unit [28] after cardiac surgery. The BMI in both groups in our study was below the risk levels reported in these studies.…”

Section: Discussionmentioning

confidence: 99%

Self-reported physical activity and lung function two months after cardiac surgery – a prospective cohort study

Jönsson

Urell

Emtner

et al. 2014

J Cardiothorac Surg

View full text Add to dashboard Cite

BackgroundPhysical activity has well-established positive health-related effects. Sedentary behaviour has been associated with postoperative complications and mortality after cardiac surgery. Patients undergoing cardiac surgery often suffer from impaired lung function postoperatively. The association between physical activity and lung function in cardiac surgery patients has not previously been reported.MethodsPatients undergoing cardiac surgery were followed up two months postoperatively. Physical activity was assessed on a four-category scale (sedentary, moderate activity, moderate regular exercise, and regular activity and exercise), modified from the Swedish National Institute of Public Health’s national survey. Formal lung function testing was performed preoperatively and two months postoperatively.ResultsThe sample included 283 patients (82% male). Two months after surgery, the level of physical activity had increased (p < 0.001) in the whole sample. Patients who remained active or increased their level of physical activity had significantly better recovery of lung function than patients who remained sedentary or had decreased their level of activity postoperatively in terms of vital capacity (94 ± 11% of preoperative value vs. 91 ± 9%; p = 0.03), inspiratory capacity (94 ± 14% vs. 88 ± 19%; p = 0.008), and total lung capacity (96 ± 11% vs. 90 ± 11%; p = 0.01).ConclusionsAn increased level of physical activity, compared to preoperative level, was reported as early as two months after surgery. Our data shows that there could be a significant association between physical activity and recovery of lung function after cardiac surgery. The relationship between objectively measured physical activity and postoperative pulmonary recovery needs to be further examined to verify these results.

show abstract

“…Antsvorio turintys pacientai turi padidėjusią pooperacinių komplikacijų atsiradimo riziką. Atliekant vidurinę sternotomiją, antsvoris yra žaizdos infekcijos, hospitalinės pneumonijos, ilgesnės aortos užspaudimo trukmės ir ilgesnės dirbtinės kraujo apytakos rizikos veiksnys [2,3,4].…”

Section: Aktualumasunclassified

Aortos vožtuvo keitimo operacijų naudojant vidurinės sternotomijos ir mini sternotomijos prieigą antsvorio turintiems pacientams rezultatų palyginimas

Aliahmed¹,

Podkopajev²,

Samėnienė³

2017

LietChirur

View full text Add to dashboard Cite

Darbo tikslasIštirti ir palyginti antsvorio turinčių ligonių pooperacinius rezultatus po aortos vožtuvo keitimo operacijos, naudojant vidurinės sternotomijos ir mini sternotomijos prieigą. Tyrimo medžiaga ir metodaiRetrospektyviai analizuota 112 pacientų, sergančių aortos vožtuvo yda ir turinčių antsvorio (KMI > 25 kg/m 2 ). Jiems 2011-2016 metais aortos vožtuvas pakeistas atliekant mini sternotomiją arba sternotomiją. Naudojant panašiausių atvejų analizės metodą, palygintos dvi grupės: 56 pacientų, kuriems atlikta mini sternotomija, ir 56 pacientų, kuriems operacija atlikta per vidurinės sternotomijos prieigą (kontrolinė grupė). Rezultatai Naudojant mini sternotomijos prieigą, operacijos trukmė buvo patikimai ilgesnė -264 ± 62 min., palyginti su 246 ± 72 min. (p = 0,046) kontrolinėje grupėje, buvo ilgesnis aortos užspaudimo laikas -atitinkamai 91 ± 20 min. ir 76 ± 23 min. (p < 0,001), bei dirbtinės kraujo apykaitos trukmė -atitinkamai 148 ± 4 min. ir 133 ± 2,7 min. (p = 0,023). Mini sternotomijos grupėje rečiau pasitaikė pooperacinis ūminis inkstų nepakankamumas -2 (3,6 %), palyginti su 12 (21,43 %) kontrolinėje grupėje (p = 0,004). Mini sternotomijos grupėje buvo trumpesnis hospitalizacijos, gydymo intensyviosios terapijos skyriuje, plaučių ventiliacijos laikas, mažesnis pooperacinis kraujo netekimas. Tačiau skirtumai buvo statistiškai nereikšmingi. Išvados Antsvorio turintiems pacientams mini sternotomija yra saugus metodas, leidžiantis atlikti sudėtingas chirurgines aortos vož-tuvo intervencijas. Kadangi rezultatai nenusileidžia vidurinės sternotomijos rezultatams, o kartais jie yra net geresni, rekomenduojame šią prieigą kaip saugią ir mažiau traumuojančią aortos vožtuvo keitimo alternatyvą antsvorio turintiems pa cientams. Reikšminiai žodžiai: mini sternotomija, sternotomija, aortos vožtuvo stenozė, antsvorio turintys pacientai M . A . A l i a h m e d , A . P o d k o p a j e v , P . S a m ė n i e n ė BackgroundThe article provides a comparative analysis of results of aortic valve replacement through median sternotomy and mini sternotomy in overweight patients. Methods This is a retrospective study of patients, who had overweigh (BMI > 25 kg/m 2 ) and underwent an isolated replacement of the aortic valve by sternotomy or mini sternotomy in the period from 2011 to 2016. Through propensity score matching, 56 patients (mini sternotomy group) were compared with 56 patients in full sternotomy (control group). Results Mini sternotomy had longer cross clamp 91 ± 20 min vs 76 ± 23 min (p < 0.001), longer operative time 264 ± 62 min vs 246 ± 72 min (p = 0.046) and bypass times 148 ± 4 min vs 133 ± 2 min (р = 0,023). In the mini sternotomy group acute renal failure developed less frequently -2 pts. (3.6%) vs 12 pts. (21.43%) (p = 0.004). We did not find significant differences in the hospital stay, intensive care unit stay, ventilation time and postoperative blood loss. Conclusions Ministernotomy is a safe method for surgical aortic valve replacement for overweight patients. Since the results are similar, and someti...

show abstract

Wound complications after median sternotomy: a single-centre study

Abstract: Wound complications following median sternotomy remain a challenge to cardiac surgery. Redo and emergency operations are the most important risk factors in this contemporary series. More efforts seem mandatory to decrease this arduous morbidity and the costs of prolonged treatment.

Cited by 80 publications

References 21 publications

Prior Sternotomy Increases the Mortality and Morbidity of Adult Heart Transplantation

Prior Sternotomy Increases the Mortality and Morbidity of Adult Heart Transplantation

Self-reported physical activity and lung function two months after cardiac surgery – a prospective cohort study

Aortos vožtuvo keitimo operacijų naudojant vidurinės sternotomijos ir mini sternotomijos prieigą antsvorio turintiems pacientams rezultatų palyginimas

Contact Info

Product

Resources

About