Abstract
Objective To analyze the effectiveness and the results of the use of a vacuum-assisted closure (VAC) system for the treatment of complex sternal wounds in newborns after cardiac surgery. Methods From May 2008 until December 2012, six patients developed post-sternotomy wound problems (large defects of epithelialization or mediastinitis), which were treated with a VAC system. Median age at the time of institution of VAC was 24.5 days (range 16 to 65 days). Median time of treatment was 14 days (range 3 to 42 days). Results All patients were newborns and all underwent delayed sternal closure after cardiac surgery. The indications for using the VAC system were: mediastinitis in two patients (33.3%) and impairment of healing without signs of infection in four (66.7%). All children after VAC therapy achieved healing of the sternal wound. VAC therapy was started with high negative pressures (-125-mmHg) continuously then switched to an intermittent modality in all patients. Conclusion VAC system with high negative pressure is safe, effective, and is a well-tolerated therapy in newborns with complex sternal wounds. doi: 10.1111/jocs.12463 (J Card Surg 2015;30:190-193)
| Original language | English |
|---|---|
| Pages (from-to) | 190-193 |
| Number of pages | 4 |
| Journal | Journal of Cardiac Surgery |
| Volume | 30 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Feb 1 2015 |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
- Medicine(all)
Cite this
Vacuum-assisted closure system in newborns after cardiac surgery. / Filippelli, Sergio; Perri, Gianluigi; Brancaccio, Gianluca; Iodice, Francesca G.; Albanese, Sonia B.; Trimarchi, Eugenio; Carotti, Adriano.
In: Journal of Cardiac Surgery, Vol. 30, No. 2, 01.02.2015, p. 190-193.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Vacuum-assisted closure system in newborns after cardiac surgery
AU - Filippelli, Sergio
AU - Perri, Gianluigi
AU - Brancaccio, Gianluca
AU - Iodice, Francesca G.
AU - Albanese, Sonia B.
AU - Trimarchi, Eugenio
AU - Carotti, Adriano
PY - 2015/2/1
Y1 - 2015/2/1
N2 - Objective To analyze the effectiveness and the results of the use of a vacuum-assisted closure (VAC) system for the treatment of complex sternal wounds in newborns after cardiac surgery. Methods From May 2008 until December 2012, six patients developed post-sternotomy wound problems (large defects of epithelialization or mediastinitis), which were treated with a VAC system. Median age at the time of institution of VAC was 24.5 days (range 16 to 65 days). Median time of treatment was 14 days (range 3 to 42 days). Results All patients were newborns and all underwent delayed sternal closure after cardiac surgery. The indications for using the VAC system were: mediastinitis in two patients (33.3%) and impairment of healing without signs of infection in four (66.7%). All children after VAC therapy achieved healing of the sternal wound. VAC therapy was started with high negative pressures (-125-mmHg) continuously then switched to an intermittent modality in all patients. Conclusion VAC system with high negative pressure is safe, effective, and is a well-tolerated therapy in newborns with complex sternal wounds. doi: 10.1111/jocs.12463 (J Card Surg 2015;30:190-193)
AB - Objective To analyze the effectiveness and the results of the use of a vacuum-assisted closure (VAC) system for the treatment of complex sternal wounds in newborns after cardiac surgery. Methods From May 2008 until December 2012, six patients developed post-sternotomy wound problems (large defects of epithelialization or mediastinitis), which were treated with a VAC system. Median age at the time of institution of VAC was 24.5 days (range 16 to 65 days). Median time of treatment was 14 days (range 3 to 42 days). Results All patients were newborns and all underwent delayed sternal closure after cardiac surgery. The indications for using the VAC system were: mediastinitis in two patients (33.3%) and impairment of healing without signs of infection in four (66.7%). All children after VAC therapy achieved healing of the sternal wound. VAC therapy was started with high negative pressures (-125-mmHg) continuously then switched to an intermittent modality in all patients. Conclusion VAC system with high negative pressure is safe, effective, and is a well-tolerated therapy in newborns with complex sternal wounds. doi: 10.1111/jocs.12463 (J Card Surg 2015;30:190-193)
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U2 - 10.1111/jocs.12463
DO - 10.1111/jocs.12463
M3 - Article
C2 - 25363601
AN - SCOPUS:84921754163
VL - 30
SP - 190
EP - 193
JO - Journal of Cardiac Surgery
JF - Journal of Cardiac Surgery
SN - 0886-0440
IS - 2
ER -