Scopus
🔓 Açık Erişim YÖKSİS Eşleşti
Comparison between Vacuum-Assisted Closure Technique and Conventional Approach in Patients with Mediastinitis After Isolated Coronary Artery Bypass Graft Surgery
Brazilian Journal of Cardiovascular Surgery · Ocak 2023
YÖKSİS Kayıtları
Comparison between Vacuum-Assisted Closure Technique and Conventional Approach in Patients with Mediastinitis After Isolated Coronary Artery Bypass Graft Surgery
Brazilian Journal of Cardiovascular Surgery · 2023 SCI-Expanded
DOKTOR ÖĞRETİM ÜYESİ HAKAN AKBAYRAK →
Makale Bilgileri
DergiBrazilian Journal of Cardiovascular Surgery
Yayın TarihiOcak 2023
Cilt / Sayfa38 · 353-359
Scopus ID2-s2.0-85158116280
Erişim🔓 Açık Erişim
Özet
Introduction: Median sternotomy is the most preferred approach in heart surgery. Post-sternotomy mediastinitis is a catastrophic and potentially life-threatening complication with an incidence rate of 0.15% to 5%, and its overall mortality rate reaches 47%. In this study, we aimed to compare the results of vacuum-assisted closure technique and the conventional methods on the management of mediastinitis following isolated coronary artery bypass graft surgery. Methods: Between February 2001 and July 2013, 32,106 patients who underwent cardiac operations were evaluated retrospectively. One hundred and fourteen patients who developed post-sternotomy mediastinitis were included in this study. The patients were divided into two groups and compared — vacuum-assisted closure group (n=52, 45.6%) and conventional treatment group (n=62, 54.4%). Results: There were no differences between the two groups according to the patients’ characteristics, surgical data, and mediastinal cultures. However, we found that total treatment duration for post-sternotomy mediastinitis, time interval from diagnosis to negative culture, hospitalization time, and in-hospital mortality were statistically significantly lower in the vacuum-assisted closure group than in the conventional treatment group (P<0.001, P<0.001, P<0.001, and P=0.03, respectively). Conclusion: This study demonstrates that the vacuum-assisted closure technique improves the medical outcome of patients with post-sternotomy mediastinitis compared with the conventional treatment. The vacuum-assisted closure is a safe and more effective treatment modality for patients with post-sternotomy mediastinitis after cardiac surgery with reasonable morbidity and mortality.
Yazarlar (2)
1
Hakan Akbayrak
2
Hayrettin Tekumit
Anahtar Kelimeler
Coronary Artery Bypass
Mediastinitis
Treatment
Vacuum-Assisted Closure
Kurumlar
Bandırma Onyedi Eylül University
Bandirma Turkey
Selçuk Tip Fakültesi
Konya Turkey
Metrikler
3
Atıf
2
Yazar
4
Anahtar Kelime