Affordable Access

deepdyve-link
Publisher Website

Treatment and Chest Reconstruction for Mediastinitis Following Sternotomy for Cardiac Surgery at the Heart Institute of the University of São Paulo Medical School.

Authors
  • Pagotto, Vitor Penteado Figueiredo1
  • Gallafrio, Samuel Terra1
  • Carneiro, Igor Castro1
  • Gemperli, Rolf1
  • Jatene, Fabio B2
  • 1 Plastic Surgery Division, Universidade de São Paulo, São Paulo, São Paulo, Brazil. , (Brazil)
  • 2 Cardiothoracic Surgery Department, Universidade de São Paulo, São Paulo, São Paulo, Brazil. , (Brazil)
Type
Published Article
Journal
Brazilian journal of cardiovascular surgery
Publication Date
Aug 06, 2021
Volume
36
Issue
4
Pages
565–570
Identifiers
DOI: 10.21470/1678-9741-2020-0117
PMID: 33577255
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This study presents the method used for chest reconstruction and treatment of mediastinitis following cardiac surgery at the Heart Institute of the University of São Paulo Medical School. After infection control with antibiotic therapy associated with aggressive surgical debridement and negative pressure wound therapy, chest reconstruction is performed using flaps. The advantages and disadvantages of negative pressure wound therapy are discussed, as well as options for flap-based chest reconstruction according to the characteristics of the patient and sternum. Further studies are needed to provide evidence to support the decisions when facing this great challenge.

Report this publication

Statistics

Seen <100 times