Back to Search
Start Over
Large Sternoabdominal Wound Dehiscence after Cardiac Surgery: Challenging Multimodal Treatment.
- Source :
-
Advances in skin & wound care [Adv Skin Wound Care] 2023 May 01; Vol. 36 (5), pp. 1-5. - Publication Year :
- 2023
-
Abstract
- Abstract: The authors report the case of a patient who presented with a nonhealing sternal wound 3 months after cardiac bypass surgery. The patient was treated with vacuum-assisted closure, surgical debridement, and IV antibiotics. Despite repeated flap closure procedures, a top closure device, and wound dressings, the patient developed an infection, and the wound size increased from 8 × 10 cm to 20 × 20 cm, advancing from the sternal to upper abdominal region. This wound was then treated with hyperbaric oxygen therapy and nonmedicated dressings until the patient was eligible to receive a split-thickness skin graft 1.5 years after initial presentation. The main takeaway from this case was that local and systemic factors affected the outcome of each surgical closure. The failure of each preceding treatment choice that led to further increases in size and area of the wound was the main challenge. Eliminating infection, preventing development of new infection, and managing the local and systemic factors before any definite surgery are key to the eventual wound closure.<br /> (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
- Subjects :
- Humans
Surgical Wound Infection diagnosis
Surgical Wound Infection etiology
Surgical Wound Infection therapy
Wound Healing
Postoperative Complications
Combined Modality Therapy
Debridement
Treatment Outcome
Cardiac Surgical Procedures adverse effects
Negative-Pressure Wound Therapy methods
Subjects
Details
- Language :
- English
- ISSN :
- 1538-8654
- Volume :
- 36
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Advances in skin & wound care
- Publication Type :
- Academic Journal
- Accession number :
- 37079794
- Full Text :
- https://doi.org/10.1097/01.ASW.0000923312.33600.8e