Major bleeding during negative pressure wound-V.A.C.® - therapy for postsurgical deep sternal wound infection - a critical appraisalReport as inadecuate




Major bleeding during negative pressure wound-V.A.C.® - therapy for postsurgical deep sternal wound infection - a critical appraisal - Download this document for free, or read online. Document in PDF available to download.

Journal of Cardiothoracic Surgery

, 6:121

First Online: 29 September 2011Received: 17 July 2011Accepted: 29 September 2011

Abstract

Negative-pressure wound therapy, commercially known as vacuum-assisted closure V.A.C. therapy, has become one of the most popular and efficacious interim prior to flap reconstruction or definite methods of managing deep sternal wound infection. Complications such as profuse bleeding, which may occur during negative-pressure therapy but not necessarily due to it, are often attributed to a single factor and reported as such. However, despite the wealth of clinical experience internationally available, information regarding certain simple considerations is still lacking. Garnering information on all the factors that could possibly influence the outcome has become more difficult due to a fortunate decrease in the incidence of deep sternal wound infection. If more insight is to be gained from fewer clinical cases, then various potentially confounding factors should be fully disclosed before complications can be attributed to the technique itself or improvements to negative-pressure wound therapy for deep sternal wound infection can be accepted as evidence-based and the guidelines for its use adapted. The authors propose the adoption of a simple checklist in such cases.

KeywordsBleeding emergency Chest wall Mediastinitis Mediastinal infection Negative pressure Shock circulatory Statistics meta-analysis Sternum Ventricle right Wound infection  Download fulltext PDF



Author: Jan J. van Wingerden - Patrique Segers - Lilian Jekel

Source: https://link.springer.com/



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