ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Molina, J. E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Molina, J. E.

Ann Thorac Surg 1993;55:459-463
© 1993 The Society of Thoracic Surgeons

Articles

Primary closure for infected dehiscence of the sternum

J.Ernesto Molina, MD, PhD*

Department of Surgery, University of Minnesota, Minneapolis, Minnesota USA

Accepted for publication May 29, 1992.

* Address reprint requests to Dr Molina, Department of Surgery, University of Minnesota Hospital & Clinic, Box 182, 420 Delaware Street SE, Minneapolis, MN 55455.

I propose a new irrigation-suction system to achieve primary closure of the sternum in cases of postoperative infected dehisced sternotomy. Of 16 cases, I had no treatment failures, no recurring infections, and no patient deaths after 1 to 8 years of follow-up. The new system entails retrosternal and superficial sets of tubes, both in double-staggered position, with primary closure of the sternum and of the skin. Skin or muscle flaps are avoided, and the stability of the chest cage is maintained. Hospitalization time is 14 to 18 days.




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. E. Molina, E. C. Nelson, and R. R.A. Smith
Treatment of postoperative sternal dehiscence with mediastinitis: Twenty-four year use of a single method
J. Thorac. Cardiovasc. Surg., October 1, 2006; 132(4): 782 - 787.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. E. Molina, R. S.-L. Lew, and K. J. Hyland
Postoperative sternal dehiscence in obese patients: Incidence and prevention
Ann. Thorac. Surg., September 1, 2004; 78(3): 912 - 917.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. G. Ohye, R. B. Maniker, H. L. Graves, E. J. Devaney, and E. L. Bove
Primary closure for postoperative mediastinitis in children
J. Thorac. Cardiovasc. Surg., September 1, 2004; 128(3): 480 - 486.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. Zeitani, F. Bertoldo, C. Bassano, A. Penta de Peppo, A. Pellegrino, F. M. El Fakhri, and L. Chiariello
Superficial wound dehiscence after median sternotomy: surgical treatment versus secondary wound healing
Ann. Thorac. Surg., February 1, 2004; 77(2): 672 - 675.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
N. Hirata, S. Hatsuoka, A. Amemiya, T. Ueno, and Y. Kosakai
New strategy for treatment of MRSA mediastinitis: one-stage procedure for omental transposition and closed irrigation
Ann. Thorac. Surg., December 1, 2003; 76(6): 2104 - 2106.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
T. Bottio, G. Rizzoli, V. Vida, D. Casarotto, and G. Gerosa
Double crisscross sternal wiring and chest wound infections: A prospective randomized study
J. Thorac. Cardiovasc. Surg., November 1, 2003; 126(5): 1352 - 1356.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
J. E. Losanoff, B. W. Richman, and J. W. Jones
Disruption and infection of median sternotomy: a comprehensive review
Eur J Cardiothorac Surg, May 1, 2002; 21(5): 831 - 839.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
P. A. Catarino, M. H. Chamberlain, N. C. Wright, E. Black, K. Campbell, D. Robson, and R. G. Pillai
High-pressure suction drainage via a polyurethane foam in the management of poststernotomy mediastinitis
Ann. Thorac. Surg., December 1, 2000; 70(6): 1891 - 1895.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. F. Berg, W. G.B. Brands, T. R. van Geldorp, M. F.Q. Kluytmans-VandenBergh, and J. A.J.W. Kluytmans
Comparison between closed drainage techniques for the treatment of postoperative mediastinitis
Ann. Thorac. Surg., September 1, 2000; 70(3): 924 - 929.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. G. Leyh, C. Bartels, and H.-H. Sievers
Adjuvant treatment of deep sternal wound infection with collagenous gentamycin
Ann. Thorac. Surg., November 1, 1999; 68(5): 1648 - 1651.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. E. Molina
Sternal closure and muscle flaps for mediastinitis
Ann. Thorac. Surg., July 1, 1998; 66(1): 297 - 298.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. M. El Oakley and J. E. Wright
Postoperative Mediastinitis: Classification and Management
Ann. Thorac. Surg., March 1, 1996; 61(3): 1030 - 1036.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
P. S. Wong, A. Youhana, P. C. Magee, and R. K. Walesby
Primary closure of infected sternum
Ann. Thorac. Surg., October 1, 1993; 56(4): 1005 - 1005.
[PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1993 by The Society of Thoracic Surgeons.