Algorithm for classification and treatment of poststernotomy wound ...

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AcknowledgementsWe thank Dr. J. Skrlin, MD, PhD, Department of Clinical Microbiology and HospitalInfections, University Hospital “Dubrava” Zagreb, Croatia, and Prof.. Z. Sutlic, MD, PhD,Department of Cardiac Surgery, University Hospital “Dubrava” Zagreb, Croatia, for theircontributions to this work.
References[1] Oh AK, Lechtman AN, Whetzel TP, Stewenson TR. The infected median sternotomywound: management with the rectus abdominis musculocutaneous flap. Ann Plast Surg2004;52:367-70.[2] Loop FD, Lytle BW, Cosgrove DM, et al. J. Maxwell Chamberlain memorial paper.Sternal wound complications after isolated coronary artery bypass grafting: early and latemortality, morbidity, and cost of care. Ann Thorac Surg 1990;49:179-87.[3] Serry C, Bleck PC, Javid H, et al. Sternal wound complications. Management and results.J Thorac Cardiovasc Surg 1980;80:861-7.[4] El Oakley RM, Wright JE. Postoperative mediastinitis: classification and management.Ann Thorac Surg 1996;61:1030-6.[5] Ringelman PR, Vander Kolk CA, Cameron D, Baumgartner WA, Manson PN. Long-termresults of flap reconstruction in median sternotomy wound infections. Plast Reconstr Surg1994;93:1208-16.[6] Wettstein R, Erni D, Berdat P, Rothenfluh D, Banic A. Radical sternectomy and primarymusculocutaneous flap reconstruction to control sternal osteitis. J Thorac Cardiovasc Surg2002;123:1185-90.[7] Hauben DJ, Shulman O, Levi Y, Sulkes J, Amir A, Silfen R. Use of the SpaceMakerballoon in sternal wound closure: comparison with other techniques. Plast Reconstr Surg2001;108:1582-90.[8] Pairolero PC, Arnold PG, Harris JB. Long-term results of pectoralis major muscletransposition for infected sternotomy wounds. Ann Surg 1991;213:583-90.[9] Song DH, Wu LC, Lohman RF, Gottlieb LJ, Franczyk M. Vacuum assisted closure for thetreatment of sternal wounds: the bridge between debridement and definitive closure. PlastReconstr Surg 2003;111:92-7.
Page 1 and 2: Središnja medicinska knjižnicaVla
Page 3 and 4: AbstractThe treatment of sternal wo
Page 5 and 6: esection of all non-viable tissue a
Page 7 and 8: ResultsThirty-one patients had ster
Page 9 and 10: mediastinitis should be defined as
Page 11: attributes, including cellular prol
Page 15 and 16: Legends to figuresFigure 1. Thoraci
Page 17 and 18: Table I. Modification of the Jones
Page 19: Table III. The patients observation

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