Vacuum-assisted closure for pediatric post-sternotomy mediastinitis: Are low negative pressures sufficient?

被引：28
|
作者：
Kadohama, Takayuki
Akasaka, Nobuyuki
Nagamine, Akira
Nakanishi, Keisuke
Kiyokawa, Keiko
Goh, Kazutomo
Sasajima, Tadahiro
机构：
[1] Asahikawa Med Univ, Dept Surg, Asahikawa, Hokkaido, Japan
[2] Asahikawa Med Univ, Dept Emergency Med, Asahikawa, Hokkaido, Japan
来源：
ANNALS OF THORACIC SURGERY | 2008年 / 85卷 / 03期
关键词：
D O I：
10.1016/j.athoracsur.2007.09.004
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We present 3 cases of pediatric post-sternotomy mediastinitis treated by a vacuum-assisted closure (VAC). The patients 2 girls, aged 6 months and 10 months, and a 2-year-old boy. The onset of infection was at 9, 14, and 32 postoperative days. The culture examination detected coagulase-negative Staphylococci strains in 2 cases, and Staphylococcus aureus in 1 case. A VAC was performed at -50 mm Hg for 10, 12, and 7 days. The wounds were closed without vascularized soft tissue. A VAC under a low negative pressure is a useful and safe procedure for the management of pediatric post-sternotomy mediastinitis.
引用
收藏
页码：1094 / 1096
页数：4
相关论文
共 50 条
  • [1] Vacuum-assisted closure of post-sternotomy mediastinitis as compared to open packing
    Vos, Roemer J.
    Yilmaz, Alaaddin
    Sonker, Uday
    Kelder, Johannes C.
    Kloppenburg, Geoffrey T. L.
    INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2012, 14 (01) : 17 - 20
  • [2] In patients with post-sternotomy mediastinitis is vacuum-assisted closure superior to conventional therapy?
    Yu, Angela W.
    Rippel, Radoslaw A.
    Smock, Elliott
    Jarral, Omar A.
    INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2013, 17 (05) : 861 - 865
  • [3] Efficacy and haemodynamic effects of vacuum-assisted closure for post-sternotomy mediastinitis in children
    Takahara, Shingo
    Sai, Sadahiro
    Kagatani, Tomoaki
    Konishi, Akinobu
    INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2014, 19 (04) : 627 - 631
  • [4] Primary closure using Redon drains vs vacuum-assisted closure in post-sternotomy mediastinitis
    Vos, Roemer J.
    Yilmaz, Alaaddin
    Sonker, Uday
    Kelder, Johannes C.
    Kloppenburg, Geoffrey T. L.
    EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2012, 42 (04) : E53 - E57
  • [5] The impact of vacuum-assisted closure on long-term survival after post-sternotomy mediastinitis
    Sjögren, J
    Nilsson, J
    Gustafsson, R
    Malmsjö, M
    Ingemansson, R
    ANNALS OF THORACIC SURGERY, 2005, 80 (04): : 1270 - 1275
  • [6] Use of intermittent high negative pressure vacuum-assisted closure for pediatric poststernotomy mediastinitis
    Brancaccio, Gianluca
    Filippelli, Sergio
    Affinito, Vincenzo
    Di Donato, Roberto M.
    JOURNAL OF CARDIOVASCULAR MEDICINE, 2017, 18 (09) : 694 - 695
  • [7] Primary closure using Redon drains for the treatment of post-sternotomy mediastinitis
    Vos, Roemer J.
    van Putte, Bart P.
    Sonker, Uday
    Kloppenburg, Geoffrey T. L.
    INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2014, 18 (01) : 33 - 37
  • [8] Vacuum-assisted closure in the paediatric patient with post-cardiotomy mediastinitis
    Ramnarine, IR
    McLean, A
    Pollock, JCS
    EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2002, 22 (06) : 1029 - 1031
  • [9] Vacuum-assisted closure in the treatment of poststernotomy mediastinitis
    Obdeijn, MC
    de Lange, MY
    Lichtendahl, DHE
    de Boer, WJ
    ANNALS OF THORACIC SURGERY, 1999, 68 (06): : 2358 - 2360
  • [10] eComment. Post-sternotomy mediastinitis management: negative pressure is the key
    Hajj-Chahine, Jamil
    INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2013, 17 (05) : 866 - 866
12345