Vacuum-Assisted Closure for Sternal Wound Infection After Coronary Artery Bypass Surgery
Hasan Erdem, Ayşe Zehra Karakoç, Seda Karasakal, Yeliz Karacı, Arzu Antal, Hasan Sunar
Department of Cardiovascular Surgery, Kartal Kosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey
Keywords: Vacuum-assisted closure; sternal wound infection; coronary bypass surgery
Introduction: Vacuum-assisted closure of sternal infected wounds has been reported to improve morbidity and mortality, besides decreasing duration of hospitalization. The aim of this study was to evaluate early outcomes of vacuum-assisted closure of infected sternal wounds after coronary bypass surgery in our clinic.
Patients and Methods: Sixty six patients who had sternal wound infection after coronary bypass surgery in our hospital between January 2016 and December 2019 were included in the study. After surgical debridement and removal of foreign materials, vacuum-assisted closure therapy was initiated at a mean postoperative 26.56 ± 5.5 days. After wound healing and negative cultures, treatment was terminated and sternal wounds were closed with appropriate procedures.
Results: Fifty six patients (84.84%) had deep sternal infection and 10 patients (15.15%) had superficial sternal infection. Early mortality was 13.63% (nine patients), all having deep sternal infections. The most common microorganisms cultured were Staphylococcus aureus and Pseudomonas aeruginosa. Mean duration of hos- pitalization was 39.68 ± 2.48 days. No complications related with vacuum-assisted closure were detected. Recurrent sternal wound infection was not observed in any of the surviving patients.
Conclusion: Our results confirm that vacuum-assisted closure of wounds is a safe and effective treatment option for patients who are not candidates for primary closure or early muscle flap closure.
Cite this article as: Erdem H, Karakoç AZ, Karasakal S, Karacı Y, Antal A, Sunar H. Vacuum-assisted closure for sternal wound infection after coronary artery bypass surgery. Koşuyolu Heart J 2021;24(1):32-37.
The study was approved by the Non- Invasive Clinical Research Ethics Committee of Health Sciences University Kartal Koşuyolu High Specialization Training and Research Hospital (Date: 23.05.2019; Number: 2019.4/19-196).
Due to the design of the study, consent to volunteer could not be obtained from the patients.
Concept/Design - HE, AA; Analysis/Interpretation - AK; Data Collection - SK, YK; Writing - AA, AK, HE; Critical Revision - AA, AK, HS; Final Approval - HS; Statistical Analysis - AK; Overall Responsibility - HE, AK, SK, YK, AA, HS.
The authors have no conflicts of interest to declare
The authors declared that this study has received no financial support.