계명대학교 의학도서관 Repository

Treatment of Pediatric Sternotomy Wound Complications: A Minimally Invasive Approach

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Author(s)
Taehee JoJoon HurEun Key Kim
Keimyung Author(s)
Jo, Tae Hee
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
Thorac Cardiovasc Surg
Issued Date
2022
Volume
70
Issue
1
Keyword
wound healingwound infectionsurgerycomplicationssternum
Abstract
Background:
Pediatric sternal wound complications (SWCs) include sterile wound dehiscence (SWD) and superficial/deep sternal wound infections (SSWI/DSWI), and are generally managed by repetitive debridement and surgical wound approximation. Here, we report a novel nonsurgical management strategy of pediatric sternotomy wound complications, using serial noninvasive wound approximation technique combined with single-use negative pressure wound therapy (PICO) device.

Methods:
Nine children with SWCs were managed by serial approximation with adhesive skin tapes and serial PICO device application. Thorough surgical debridement or surgical approximations were not performed.

Results:
Three patients were clinically diagnosed as SWD, two patients as SSWI, and four patients as DSWI. None of the wounds demonstrated apparent mediastinitis or bone destructions. PICO device was applied at 16.1 days (range: 6–26 days) postoperatively, together with serial wound approximation by skin tapes. The average duration of PICO use was 16.9 days (range: 11–29 days) and the wound approximation was achieved in all patients. None of the patients underwent aggressive surgical debridement or invasive surgical approximation by sutures.

Conclusion:
We report our successful management of selected pediatric SWCs, using serial noninvasive wound approximation technique combined with PICO device.
Keimyung Author(s)(Kor)
조태희
Publisher
School of Medicine (의과대학)
Citation
Taehee Jo et al. (2022). Treatment of Pediatric Sternotomy Wound Complications: A Minimally Invasive Approach. Thorac Cardiovasc Surg, 70(1), 56–64. doi: 10.1055/s-0040-1722733
Type
Article
ISSN
0171-6425
Source
https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0040-1722733
DOI
10.1055/s-0040-1722733
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43993
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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