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A Randomized Study Evaluating Clinical Efficacy and Safety of Trusteel® and Ethisteel® Surgical Steel Sutures for Sternal Closure in Subjects Undergoing Surgical Procedures by Sternotomy.
Cureus
April 2024
Clinical Affairs, Healthium Medtech Limited, Bengaluru, IND.
Introduction: Sternal dehiscence and other post-sternotomy complications, viz. superficial and deep sternal wound infection, mediastinitis, and sternal instability increase the risk of mortality. Sternotomy closure with steel sutures results in a low complication rate.
View Article and Find Full Text PDFInfectious Mediastinitis: A Retrospective Cohort Study.
Open Forum Infect Dis
May 2024
Department of Infectious and Tropical Diseases, Strasbourg University Hospital, Strasbourg, France.
Article Synopsis
- This study analyzed 151 cases of mediastinitis at Strasbourg University Hospital, focusing on patient demographics, infection sources, and treatment outcomes over a decade.
- Cases included poststernotomy mediastinitis (PSM), mediastinitis from esophageal perforation (MEP), and descending necrotizing mediastinitis (DNM), with distinct microbial profiles noted: PSM was mostly caused by staphylococci, while MEP and DNM showed a mix of organisms from digestive or oral sources.
- The findings indicated a median anti-infective treatment duration of 41 days and a 1-year survival rate of 64.8%, highlighting the importance of understanding infection origins for better management strategies.
Computed Tomography Scanning for Sternal Wound Infections: A Systematic Review.
Ulster Med J
January 2024
Department of Cardiothoracic Surgery, Liverpool Heart and Chest, Liverpool, UK.
Background: Sternal wound infection (SWI) has always been a significant risk in patients who undergo sternotomies as part of their cardiac surgical procedures. Computed tomography (CT) imaging is often used to diagnose and assess sternal wound infections. Its purpose includes identifying and locating infection and any sternal dehiscence.
View Article and Find Full Text PDFIntroduction: Poststernotomy mediastinitis (PSM) is a critical and life-threatening complication that can arise after cardiac surgery. The aim of this study was to evaluate and compare the outcomes of negative pressure wound therapy (NPWT) and conventional methods in the management of mediastinitis following heart surgery with a focus on Asian populations.
Methods: For this retrospective study, we included and evaluated a total of 34 patients who had undergone cardiac operations between January 2011 and September 2021 and developed PSM.
A radiologist's guide to median sternotomy.
Clin Radiol
January 2024
Department of Radiology, St Bartholomew's Hospital, Barts Health NHS Trust, London, UK.
Article Synopsis
- Median sternotomy is the main surgical approach in cardiac surgeries, involving the division of the sternum for access to the heart and lungs, especially for congenital defects and CABG.
- This review highlights pre-procedural imaging assessments and post-sternotomy complications based on experiences from a tertiary cardiothoracic centre.
- Key topics include imaging features of mediastinal adhesions, safe distances for re-sternotomy, and potential postoperative issues such as sternal wire fractures, sternal dehiscence, and soft tissue infections.
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