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


     


This Article
Right arrow Full Text
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 Author home page(s):
Reida M. El Oakley
John E. Wright
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 El Oakley, R. M.
Right arrow Articles by Wright, J. E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by El Oakley, R. M.
Right arrow Articles by Wright, J. E.

Ann Thorac Surg 1996;61:1030-1036
© 1996 The Society of Thoracic Surgeons


Current Reviews

Postoperative Mediastinitis: Classification and Management

Reida M. El Oakley, FRCS, John E. Wright, FRCS

Department of Cardiac Surgery, Royal Brompton Hospital, and Department of Cardiac Surgery, London Chest Hospital, London, England

Although the incidence of mediastinal wound infection in patients undergoing median sternotomy for cardiopulmonary bypass is less than 1%, its associated morbidity, mortality, and ``cost'' remain unacceptably high. There is considerable lack of consensus regarding the ideal operative treatment of complicated median sternotomy wounds. The aim of this article is to review the current preventive, diagnostic, and therapeutic techniques offered to patients with mediastinitis. We also propose a new classification for postoperative mediastinitis. Data from the English-language literature suggest that the type of mediastinitis and direct assessment of the mediastinum under general anesthesia are the main determinants of the nature of subsequent operative treatment. Wound debridement and removal of foreign materials are essential steps of whatever procedures are applied. Closed mediastinal irrigation can be successful in type I mediastinitis, whereas major reconstructive operation is probably the treatment of choice for patients with mediastinitis types II to V. Refinement of the current diagnostic tools and further evaluation of the benefits of primary sternal fixation in combination with a reconstructive procedure in mediastinitis types I to III could improve the outcome of this dreaded complication.




This article has been cited by other articles:


Home page
Asian Cardiovasc. Thorac. Ann.Home page
S. Narang, A. Banerjee, D. K Satsangi, and M. A Geelani
Sternal Weave in High-Risk Patients to Prevent Noninfective Sternal Dehiscence
Asian Cardiovasc Thorac Ann, April 1, 2009; 17(2): 167 - 170.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
J. Huh, F. Bakaeen, D. Chu, and M. J. Wall Jr.
Transverse sternal plating in secondary sternal reconstruction.
J. Thorac. Cardiovasc. Surg., December 1, 2008; 136(6): 1476 - 1480.
[Abstract] [Full Text] [PDF]


Home page
Asian Cardiovasc. Thorac. Ann.Home page
T. Hiramatsu, Y. Okamura, S. Komori, Y. Nishimura, H. Suzuki, and T. Takeuchi
Vacuum-Assisted Closure for Mediastinitis after Pediatric Cardiac Surgery
Asian Cardiovasc Thorac Ann, October 1, 2008; 16(5): e45 - e46.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
T. S. Roh, W. J. Lee, D. H. Lew, and K. C. Tark
Pectoralis major-rectus abdominis bipedicled muscle flap in the treatment of poststernotomy mediastinitis
J. Thorac. Cardiovasc. Surg., September 1, 2008; 136(3): 618 - 622.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
M. W. Kiehn, W. W. Heckman, S. Osaki, and T. Kohmoto
Intercostal Muscle Flap Reconstruction and Primary Sternal Closure for Mediastinal Abscess
Ann. Thorac. Surg., July 1, 2008; 86(1): 304 - 306.
[Abstract] [Full Text] [PDF]


Home page
Eur. J. Cardiothorac. Surg.Home page
A. J. Poncelet, B. Lengele, B. Delaere, F. Zech, D. Glineur, J.-C. Funken, G. El Khoury, and P. Noirhomme
Algorithm for primary closure in sternal wound infection: a single institution 10-year experience
Eur. J. Cardiothorac. Surg., February 1, 2008; 33(2): 232 - 238.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
J. Zeitani, A. Penta de Peppo, A. Bianco, F. Nanni, A. Scafuri, F. Bertoldo, A. Salvati, S. Nardella, and L. Chiariello
Performance of a Novel Sternal Synthesis Device After Median and Faulty Sternotomy: Mechanical Test and Early Clinical Experience
Ann. Thorac. Surg., January 1, 2008; 85(1): 287 - 293.
[Abstract] [Full Text] [PDF]


Home page
Card Surg AdultHome page
Z. I. Khalpey, R. B. Ganim, and J. D. Rawn
Postoperative Care of Cardiac Surgery Patients
Card. Surg. Adult, January 1, 2008; 3(2008): 465 - 486.
[Full Text]


Home page
Card Surg AdultHome page
S. J. Durham and J. P. Gold
Late Complications of Cardiac Surgery
Card. Surg. Adult, January 1, 2008; 3(2008): 535 - 548.
[Full Text]


Home page
Ann. Thorac. Surg.Home page
D. Hutschala, K. Skhirtladze, C. Kinstner, B. Mayer-Helm, M. Muller, E. Wolner, and E. M. Tschernko
In Vivo Microdialysis to Measure Antibiotic Penetration Into Soft Tissue During Cardiac Surgery
Ann. Thorac. Surg., November 1, 2007; 84(5): 1605 - 1610.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
T. Fleck, R. Moidl, A. Blacky, M. Fleck, E. Wolner, M. Grabenwoger, and W. Wisser
Triclosan-Coated Sutures for the Reduction of Sternal Wound Infections: Economic Considerations
Ann. Thorac. Surg., July 1, 2007; 84(1): 232 - 236.
[Abstract] [Full Text] [PDF]


Home page
Asian Cardiovasc. Thorac. Ann.Home page
K. Athanassiadi, N. Theakos, G. Benakis, S. Kakaris, and I. Skottis
Omental Transposition: the Final Solution for Major Sternal Wound Infection
Asian Cardiovasc Thorac Ann, June 1, 2007; 15(3): 200 - 203.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
R. Petzina, M. Ugander, L. Gustafsson, H. Engblom, J. Sjogren, R. Hetzer, R. Ingemansson, H. Arheden, and M. Malmsjo
Hemodynamic effects of vacuum-assisted closure therapy in cardiac surgery: Assessment using magnetic resonance imaging
J. Thorac. Cardiovasc. Surg., May 1, 2007; 133(5): 1154 - 1162.
[Abstract] [Full Text] [PDF]


Home page
JAMAHome page
P. Segers, R. G. H. Speekenbrink, D. T. Ubbink, M. L. van Ogtrop, and B. A. de Mol
Chlorhexidine Gluconate for Prevention of Nosocomial Infection in Cardiac Surgery--Reply
JAMA, March 14, 2007; 297(10): 1060 - 1060.
[Full Text] [PDF]


Home page
JAMAHome page
P. Segers, R. G. H. Speekenbrink, D. T. Ubbink, M. L. van Ogtrop, and B. A. de Mol
Prevention of Nosocomial Infection in Cardiac Surgery by Decontamination of the Nasopharynx and Oropharynx With Chlorhexidine Gluconate: A Randomized Controlled Trial
JAMA, November 22, 2006; 296(20): 2460 - 2466.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
A. K. Oh, G. A. Wong, and M. S. Wong
Late Presentation of Poststernotomy Mediastinitis 15 Years After Coronary Artery Bypass Grafting
Ann. Thorac. Surg., November 1, 2006; 82(5): 1894 - 1897.
[Abstract] [Full Text] [PDF]


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
V. A. Olbrecht, C. J. Barreiro, P. N. Bonde, J. A. Williams, W. A. Baumgartner, V. L. Gott, and J. V. Conte
Clinical outcomes of noninfectious sternal dehiscence after median sternotomy.
Ann. Thorac. Surg., September 1, 2006; 82(3): 902 - 907.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
R. S. George, E. J. Birks, S. Haj-Yahia, C. T. Bowles, A. Hall, A. Khaghani, and M. Petrou
Acinetobacter Mediastinitis in a Heart Transplant Patient
Ann. Thorac. Surg., August 1, 2006; 82(2): 715 - 716.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
J. Zeitani, A. P. de Peppo, M. Moscarelli, L. G. Wolf, A. Scafuri, P. Nardi, F. Nanni, E. Di Marzio, P. De Vico, and L. Chiariello
Influence of sternal size and inadvertent paramedian sternotomy on stability of the closure site: A clinical and mechanical study
J. Thorac. Cardiovasc. Surg., July 1, 2006; 132(1): 38 - 42.
[Abstract] [Full Text] [PDF]


Home page
Eur. J. Cardiothorac. Surg.Home page
C. H.K. Wong, S. Senewiratne, B. Garlick, and D. Mullany
Two-stage management of sternal wound infection using bilateral pectoralis major advancement flap.
Eur. J. Cardiothorac. Surg., July 1, 2006; 30(1): 148 - 152.
[Abstract] [Full Text] [PDF]


Home page
Eur. J. Cardiothorac. Surg.Home page
C. Mills and P. Bryson
The role of hyperbaric oxygen therapy in the treatment of sternal wound infection.
Eur. J. Cardiothorac. Surg., July 1, 2006; 30(1): 153 - 159.
[Abstract] [Full Text] [PDF]


Home page
ICVTSHome page
T. Fleck, R. Moidl, P. Giovanoli, O. Aszmann, A. Bartunek, A. Blacky, M. Grabenwoger, and E. Wolner
A conclusion from the first 125 patients treated with the vacuum assisted closure system for postoperative sternal wound infection
Interactive CardioVascular and Thoracic Surgery, April 1, 2006; 5(2): 145 - 148.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
P. Tomos, E. Lachanas, P. O. Michail, and A. Kostakis
Alternative Bi-Pectoral Muscle Flaps for Postoperative Sternotomy Mediastinitis
Ann. Thorac. Surg., February 1, 2006; 81(2): 754 - 755.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
K. N. Cowan, L. Teague, S. C. Sue, and J. L. Mahoney
Vacuum-Assisted Wound Closure of Deep Sternal Infections in High-Risk Patients After Cardiac Surgery
Ann. Thorac. Surg., December 1, 2005; 80(6): 2205 - 2212.
[Abstract] [Full Text] [PDF]


Home page
ICVTSHome page
P. Segers, A. P. de Jong, J. J. Kloek, and B. A.J.M. de Mol
Poststernotomy mediastinitis: comparison of two treatment modalities
Interactive CardioVascular and Thoracic Surgery, December 1, 2005; 4(6): 555 - 560.
[Abstract] [Full Text] [PDF]


Home page
ICVTSHome page
A. J. Doyle, S. R. Large, and F. Murphy
Sternal wound dehiscence after internal mammary artery harvesting. Logical management. Part 2
Interactive CardioVascular and Thoracic Surgery, December 1, 2005; 4(6): 511 - 513.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
J. Sjogren, J. Nilsson, R. Gustafsson, M. Malmsjo, and R. Ingemansson
The Impact of Vacuum-Assisted Closure on Long-Term Survival After Post-Sternotomy Mediastinitis
Ann. Thorac. Surg., October 1, 2005; 80(4): 1270 - 1275.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
S. R. Leal-Noval, R. Amaya, A. Herruzo, A. Hernandez, A. Ordonez, A. Marin-Niebla, and P. Camacho
Effects of a Leukocyte Depleting Arterial Line Filter on Perioperative Morbidity in Patients Undergoing Cardiac Surgery: A Controlled Randomized Trial
Ann. Thorac. Surg., October 1, 2005; 80(4): 1394 - 1400.
[Abstract] [Full Text] [PDF]


Home page
ICVTSHome page
N. Kimura, K. Kawahito, S. Ito, S. Murata, A. Yamaguchi, H. Adachi, and T. Ino
Omental transfer for deep sternal wound infection after coronary artery bypass grafting with the right gastroepiploic artery
Interactive CardioVascular and Thoracic Surgery, October 1, 2005; 4(5): 469 - 472.
[Abstract] [Full Text] [PDF]


Home page
ICVTSHome page
L. F. L. Almodovar, A. C. Canas, P. P. Lima Canadas, and M. C. Hernandez
Vacuum-assisted therapy with a handcrafted system for the treatment of wound infection after median sternotomy
Interactive CardioVascular and Thoracic Surgery, October 1, 2005; 4(5): 412 - 414.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
F. F. Immer, M. Durrer, K. S. Muhlemann, D. Erni, B. Gahl, and T. P. Carrel
Deep Sternal Wound Infection After Cardiac Surgery: Modality of Treatment and Outcome
Ann. Thorac. Surg., September 1, 2005; 80(3): 957 - 961.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
J. Sjogren, R. Gustafsson, J. Nilsson, M. Malmsjo, and R. Ingemansson
Clinical Outcome After Poststernotomy Mediastinitis: Vacuum-Assisted Closure Versus Conventional Treatment
Ann. Thorac. Surg., June 1, 2005; 79(6): 2049 - 2055.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
J.-L. Trouillet, A. Vuagnat, A. Combes, V. Bors, J. Chastre, I. Gandjbakhch, and C. Gibert
Acute poststernotomy mediastinitis managed with debridement and closed-drainage aspiration: Factors associated with death in the intensive care unit
J. Thorac. Cardiovasc. Surg., March 1, 2005; 129(3): 518 - 524.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
U. Fuchs, A. Zittermann, B. Stuettgen, A. Groening, K. Minami, and R. Koerfer
Clinical Outcome of Patients With Deep Sternal Wound Infection Managed by Vacuum-Assisted Closure Compared to Conventional Therapy With Open Packing: A Retrospective Analysis
Ann. Thorac. Surg., February 1, 2005; 79(2): 526 - 531.
[Abstract] [Full Text] [PDF]


Home page
ChestHome page
I. K. Toumpoulis, C. E. Anagnostopoulos, J. J. DeRose Jr, and D. G. Swistel
The Impact of Deep Sternal Wound Infection on Long-term Survival After Coronary Artery Bypass Grafting
Chest, February 1, 2005; 127(2): 464 - 471.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
R. El Oakley
INVITED COMMENTARY
Ann. Thorac. Surg., January 1, 2005; 79(1): 161 - 162.
[Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
M. De Feo, A. Carozza, A. Della Corte, C. Quarto, M. Torella, L. S. De Santo, G. Nappi, and M. Cotrufo
Achilles Tendon for Sternal Synthesis in the Treatment of Mediastinitis
Ann. Thorac. Surg., January 1, 2005; 79(1): 359 - 360.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Microbiol.Home page
A. Mekontso-Dessap, S. Honore, M. Kirsch, R. Houel, D. Loisance, and C. Brun-Buisson
Usefulness of Routine Epicardial Pacing Wire Culture for Early Prediction of Poststernotomy Mediastinitis
J. Clin. Microbiol., November 1, 2004; 42(11): 5245 - 5248.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
E. C. Douville, J. W. Asaph, R. J. Dworkin, J. R. Handy Jr, C. S. Canepa, G. L. Grunkemeier, and Y. Wu
Sternal Preservation: A Better Way to Treat Most Sternal Wound Complications After Cardiac Surgery
Ann. Thorac. Surg., November 1, 2004; 78(5): 1659 - 1664.
[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
W. H. Merrill, S. A. Akhter, R. K. Wolf, E. W. Schneeberger, and J. B. Flege Jr
Simplified treatment of postoperative mediastinitis
Ann. Thorac. Surg., August 1, 2004; 78(2): 608 - 612.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
D. E. Allie, C. J. Hebert, M. D. Lirtzman, C. H. Wyatt, V. A. Keller, S. M. Souther, A. A. Allie, E. V. Mitran, and C. M. Walker
Novel treatment strategy for leg and sternal wound complications after coronary artery bypass graft surgery: Bioengineered Apligraf
Ann. Thorac. Surg., August 1, 2004; 78(2): 673 - 678.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
K. Sung, T.-G. Jun, P. W. Park, K.-H. Park, Y. T. Lee, and J.-H. Yang
Management of deep sternal infection in infants and children with advanced pectoralis major muscle flaps
Ann. Thorac. Surg., April 1, 2004; 77(4): 1371 - 1375.
[Abstract] [Full Text] [PDF]


Home page
ICVTSHome page
L.-G. Dahlin, H. Granfeldt, and H. Hultkvist
A multimodal approach for reducing wound infections after sternotomy
Interactive CardioVascular and Thoracic Surgery, March 1, 2004; 3(1): 206 - 210.
[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
C. S. Abboud, S. B. Wey, and V. T. Baltar
Risk factors for mediastinitis after cardiac surgery
Ann. Thorac. Surg., February 1, 2004; 77(2): 676 - 683.
[Abstract] [Full Text] [PDF]


Home page
ChestHome page
R. Wynne, M. Botti, H. Stedman, L. Holsworth, M. Harinos, O. Flavell, and C. Manterfield
Effect of Three Wound Dressings on Infection, Healing Comfort, and Cost in Patients With Sternotomy Wounds: A Randomized Trial
Chest, January 1, 2004; 125(1): 43 - 49.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
R. I. Gustafsson, J. Sjogren, and R. Ingemansson
Deep sternal wound infection: a sternal-sparing technique with vacuum-assisted closure therapy
Ann. Thorac. Surg., December 1, 2003; 76(6): 2048 - 2053.
[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. Surg.Home page
J. Desmond, A. Lovering, C. Harle, T. Djorevic, and R. Millner
Topical vancomycin applied on closure of the sternotomy wound does not prevent high levels of systemic vancomycin
Eur. J. Cardiothorac. Surg., May 1, 2003; 23(5): 765 - 770.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
Q. Abid, U. U. Nkere, A. Hasan, K. Gould, J. Forty, P. Corris, C. J. Hilton, and J. H. Dark
Mediastinitis in heart and lung transplantation: 15 years experience
Ann. Thorac. Surg., May 1, 2003; 75(5): 1565 - 1571.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
I. Risnes, T. Ueland, P. Aukrust, R. Lundblad, S. T. Baksaas, T. E. Mollnes, and J. L. Svennevig
Complement activation and cytokine and chemokines release during mediastinitis
Ann. Thorac. Surg., March 1, 2003; 75(3): 981 - 985.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
A. Yellin, Y. Refaely, M. Paley, and D. Simansky
Major bleeding complicating deep sternal infection after cardiac surgery
J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(3): 554 - 558.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
S. Benlolo, J. Mateo, L. Raskine, O. Tibourtine, A. Bel, D. Payen, and A. Mebazaa
Sternal puncture allows an early diagnosis of poststernotomy mediastinitis
J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(3): 611 - 617.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
M. De Feo, L. S. De Santo, G. Romano, A. Renzulli, A. Della Corte, R. Utili, and M. Cotrufo
Treatment of recurrent staphylococcal mediastinitis: still a controversial issue
Ann. Thorac. Surg., February 1, 2003; 75(2): 538 - 542.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
H. Luckraz, F. Murphy, S. Bryant, S. C. Charman, and A. J. Ritchie
Vacuum-assisted closure as a treatment modality for infections after cardiac surgery
J. Thorac. Cardiovasc. Surg., February 1, 2003; 125(2): 301 - 305.
[Abstract] [Full Text] [PDF]


Home page
Eur. J. Cardiothorac. Surg.Home page
M. Doss, S. Martens, J. P. Wood, J. D. Wolff, C. Baier, and A. Moritz
Vacuum-assisted suction drainage versus conventional treatment in the management of poststernotomy osteomyelitis
Eur. J. Cardiothorac. Surg., December 1, 2002; 22(6): 934 - 938.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
T. M. Fleck, M. Fleck, R. Moidl, M. Czerny, R. Koller, P. Giovanoli, M. J. Hiesmayer, D. Zimpfer, E. Wolner, and M. Grabenwoger
The vacuum-assisted closure system for the treatment of deep sternal wound infections after cardiac surgery
Ann. Thorac. Surg., November 1, 2002; 74(5): 1596 - 1600.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Microbiol.Home page
A. Tammelin, A. Hambraeus, and E. Stahle
Mediastinitis after Cardiac Surgery: Improvement of Bacteriological Diagnosis by Use of Multiple Tissue Samples and Strain Typing
J. Clin. Microbiol., August 1, 2002; 40(8): 2936 - 2941.
[Abstract] [Full Text] [PDF]


Home page
Eur. J. Cardiothorac. Surg.Home 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
Eur. J. Cardiothorac. Surg.Home page
L. Ridderstolpe, H. Gill, H. Granfeldt, H. Ahlfeldt, and H. Rutberg
Superficial and deep sternal wound complications: incidence, risk factors and mortality
Eur. J. Cardiothorac. Surg., December 1, 2001; 20(6): 1168 - 1175.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
I. Risnes, M. Abdelnoor, S. Tore Baksaas, R. Lundblad, and J. L. Svennevig
Sternal wound infections in patients undergoing open heart surgery: randomized study comparing intracutaneous and transcutaneous suture techniques
Ann. Thorac. Surg., November 1, 2001; 72(5): 1587 - 1591.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
A. Combes, J.-L. Trouillet, J. Baudot, M. Mokhtari, J. Chastre, and C. Gibert
Is it possible to cure mediastinitis in patients with major postcardiac surgery complications?
Ann. Thorac. Surg., November 1, 2001; 72(5): 1592 - 1597.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
M. Kirsch, A. Mekontso-Dessap, R. Houel, E. Giroud, M.-L. Hillion, and D. Y. Loisance
Closed drainage using Redon catheters for poststernotomy mediastinitis: results and risk factors for adverse outcome
Ann. Thorac. Surg., May 1, 2001; 71(5): 1580 - 1586.
[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
J. H. Braxton, C. A.S. Marrin, P. D. McGrath, C. S. Ross, J. R. Morton, M. Norotsky, D. C. Charlesworth, S. J. Lahey, R. A. Clough, and G. T. O'Connor
Mediastinitis and long-term survival after coronary artery bypass graft surgery
Ann. Thorac. Surg., December 1, 2000; 70(6): 2004 - 2007.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
R. Saginur, D. Croteau, and M. G. Bergeron
Comparative efficacy of teicoplanin and cefazolin for cardiac operation prophylaxis in 3027 patients
J. Thorac. Cardiovasc. Surg., December 1, 2000; 120(6): 1120 - 1130.
[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
A. Tegnell, C. Aren, and L. Ohman
Coagulase-negative staphylococci and sternal infections after cardiac operation
Ann. Thorac. Surg., April 1, 2000; 69(4): 1104 - 1109.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
E. Erez, M. Katz, E. Sharoni, Y. Katz, A. Leviav, B. A. Vidne, and O. Dagan
Pectoralis major muscle flap for deep sternal wound infection in neonates
Ann. Thorac. Surg., February 1, 2000; 69(2): 572 - 577.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
R. E. Oakley, K. A. Nimer, and E. Bukhari
Is the use of topical vancomycin to prevent mediastinitis after cardiac surgery justified?
J. Thorac. Cardiovasc. Surg., January 1, 2000; 119(1): 190 - 191.
[Full Text]


Home page
Ann. Thorac. Surg.Home page
M. C. Obdeijn, M. Y. de Lange, D. H.E. Lichtendahl, and W. J. de Boer
Vacuum-assisted closure in the treatment of poststernotomy mediastinitis
Ann. Thorac. Surg., December 1, 1999; 68(6): 2358 - 2360.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
T. Szerafin, O. Jaber, and A. Peterffy
Reduction of wound healing problems after median sternotomy
Ann. Thorac. Surg., December 1, 1999; 68(6): 2388 - 2388.
[Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
A. U. Syed, A. Al Watidy, and R. M. El Oakley
Postoperative mediastinitis and {beta}-adrenergic drugs
Ann. Thorac. Surg., August 1, 1998; 66(2): 601 - 601.
[Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
A. El Gamel
Reply
Ann. Thorac. Surg., July 1, 1998; 66(1): 297 - 298.
[Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
A. El Gamel, N. A. Yonan, R. Hassan, M. T. Jones, C. S. Campbell, A. K. Deiraniya, and R. A. M. Lawson
Treatment of Mediastinitis: Early Modified Robicsek Closure and Pectoralis Major Advancement Flaps
Ann. Thorac. Surg., January 1, 1998; 65(1): 41 - 46.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
N. K. Kejriwal and H. S. Paterson
Retrosternal Fat Pad for Prevention of Suppurative Sternitis
Ann. Thorac. Surg., May 1, 1997; 63(5): 1484 - 1485.
[Abstract] [Full Text]




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 © 1996 by The Society of Thoracic Surgeons.