AIM: We sought to compare clinical outcomes, in-hospital mortality and 1-year survival of two different treatment modalities of deep sternal wound infection, topical negative pressure and the closed irrigation therapy. METHODS: Retrospective analysis of 66 consecutive patients treated for deep sternal infection at our institution. A total of 28 patients (February 2002 through September 2004) underwent primarily closed irrigation therapy, and 34 patients (November 2004 through December 2007) had the application of topical negative pressure. Four patients (July 2004 through December 2004) who underwent a combination of both strategies were excluded from the study. Clinical and wound care outcomes were compared, focusing on therapeutic failure rate, in-hospital stay and the 1-year mortality of both treatment strategies. RESULTS: Topical negative pressure was associated with a significantly lower failure rate of the primary therapy (P<0.05), shortening of the intensive care unit stay (P<0.001), a particular decrease in the in-hospital stay (P<0.05) and the 1-year mortality (P<0.05) in comparison with closed irrigation therapy. Comparable overall length of the therapy, in-hospital stay and the risk of wire-related fistulas after chest reconstruction were found. CONCLUSION: Topical negative pressure is a superior method of treatment for deep sternal wound infection, which is based on lower therapeutic failure rate, significant decrease in-hospital stay, and the decrease of the 1-year mortality rate, compared with primarily applied closed irrigation.
- MeSH
- časové faktory MeSH
- debridement metody MeSH
- délka pobytu trendy MeSH
- hojení ran MeSH
- infekce chirurgické rány terapie MeSH
- kardiochirurgické výkony škodlivé účinky metody MeSH
- léčebná irigace metody MeSH
- lidé MeSH
- mortalita v nemocnicích trendy MeSH
- následné studie MeSH
- retrospektivní studie MeSH
- rizikové faktory MeSH
- senioři MeSH
- sternotomie škodlivé účinky MeSH
- sternum MeSH
- terapie ran pomocí řízeného podtlaku metody MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- srovnávací studie MeSH
- Geografické názvy
- Švédsko MeSH
The authors present the case-report of a 35-year-old patient with traumatic losses of the scrotum and penis. For acute and final treatment, they used a free transfer of a fasciocutaneous flap. They selected a sensitive Chinese flap for reconstruction of the scrotum; the penis was treated by transplantation using dermoepidermal grafts. The patient recovered without major complications. In the authors’ opinion, the advantage of this method, as compared with other methods, is the almost normal appearance of the scrotum and the normal physiological site of the testes. Sexual intercourse was resumed after less than four months.
- MeSH
- chirurgické laloky MeSH
- dospělí MeSH
- kůže zranění MeSH
- lidé MeSH
- mužské pohlavní orgány chirurgie zranění MeSH
- rány a poranění chirurgie MeSH
- zákroky plastické chirurgie metody MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- antibakteriální látky aplikace a dávkování terapeutické užití MeSH
- dítě MeSH
- klinické laboratorní techniky MeSH
- kombinovaná farmakoterapie MeSH
- lidé MeSH
- Listeria monocytogenes izolace a purifikace účinky léků MeSH
- listeriová meningitida diagnóza farmakoterapie MeSH
- nemoci novorozenců mikrobiologie MeSH
- novorozenec MeSH
- vaginální stěr MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mužské pohlaví MeSH
- novorozenec MeSH
- Publikační typ
- kazuistiky MeSH
