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Journal of Cardiothoracic Surgery

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Open Access 01-12-2011 | Research article

Risk analysis and outcome of mediastinal wound and deep mediastinal wound infections with specific emphasis to omental transposition

Authors: Haralabos Parissis, Bassel Al-Alao, Alan Soo, David Orr, Vincent Young

Published in: Journal of Cardiothoracic Surgery | Issue 1/2011

Abstract

Background

To report our experience, with Deep mediastinal wound infections (DMWI). Emphasis was given to the management of deep infections with omental flaps

Methods

From February 2000 to October 2007, out of 3896 cardiac surgery patients (prospective data collection) 120 pts (3.02%) developed sternal wound infections. There were 104 males & 16 females; (73.7%) CABG, (13.5%) Valves & (9.32%) CABG and Valve.

Results

Superficial sternal wound infection detected in 68 patients (1.75%) and fifty-two patients (1.34%) developed DMWI. The incremental risk factors for development of DMWI were: Diabetes (OR = 3.62, CI = 1.2-10.98), Pre Op Creatinine > 200 μmol/l (OR = 3.33, CI = 1.14-9.7) and Prolong ventilation (OR = 4.16, CI = 1.73-9.98). Overall mortality for the DMWI was 9.3% and the specific mortality of the omental flap group was 8.3%. 19% of the "DMWI group", developed complications: hematoma 6%, partial flap loss 3.0%, wound dehiscence 5.3%. Mean Hospital Stay: 59 ± 21.5 days.

Conclusion

Post cardiac surgery sternal wound complications remain challenging. The role of multidisciplinary approach is fundamental, as is the importance of an aggressive early wound exploration especially for deep sternal infections.

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Title: Risk analysis and outcome of mediastinal wound and deep mediastinal wound infections with specific emphasis to omental transposition
Authors: Haralabos Parissis
Bassel Al-Alao
Alan Soo
David Orr
Vincent Young
Publication date: 01-12-2011
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2011
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/1749-8090-6-111

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk analysis and outcome of mediastinal wound and deep mediastinal wound infections with specific emphasis to omental transposition

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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