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

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Articles

Primary closure for infected dehiscence of the sternum

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.

	Abstract

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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.

	References

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