Secondary omental and pectoralis major double flap reconstruction following aggressive sternectomy for deep sternal wound infections after cardiac surgery View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2011-12

AUTHORS

Toshiro Kobayashi, Akihito Mikamo, Hiroshi Kurazumi, Ryo Suzuki, Bungo Shirasawa, Kimikazu Hamano

ABSTRACT

BACKGROUND: Deep sternal wound infection after cardiac surgery carries high morbidity and mortality. Our strategy for deep sternal wound infection is aggressive strenal debridement followed by vacuum-assisted closure (VAC) therapy and omental-muscle flap reconstrucion. We describe this strategy and examine the outcome and long-term quality of life (QOL) it achieves. METHODS: We retrospectively examined 16 patients treated for deep sternal wound infection between 2001 and 2007. The most recent nine patients were treated with total sternal resection followed by VAC therapy and secondary closure with omental-muscle flap reconstruction (recent group); whereas the former seven patients were treated with sternal preservation if possible, without VAC therapy, and four of these patients underwent primary closure (former group). We assessed long-term quality of life after DSWI by using the Short Form 36-Item Health Survey, Version 2 (SF36v2). RESULTS: One patient died and four required further surgery for recurrence of deep sternal wound infection in the former group. The duration of treatment for deep sternal wound infection in the recent group was significantly shorter than that in previous group (63.4 ± 54.1 days vs. 120.0 ± 31.8 days, respectively; p = 0.039). Despite aggressive sternal resection, the QOL of patients treated for DSWI was only minimally compromised compared with age-, sex-, surgical procedures-matched patients without deep sternal wound infection. CONCLUSIONS: Aggressive sternal debridement followed by VAC therapy and secondary closure with an omental-muscle flap is effective for deep sternal wound infection. In this series, it resulted in a lower incidence of recurrent infection, shorter hospitalization, and it did not compromise long-term QOL greatly. More... »

PAGES

56

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1749-8090-6-56

DOI

http://dx.doi.org/10.1186/1749-8090-6-56

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1007673006

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21501461


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Aged, 80 and over", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Cardiac Surgical Procedures", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Debridement", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Middle Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Omentum", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Pectoralis Muscles", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Quality of Life", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Reconstructive Surgical Procedures", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Retrospective Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Sternotomy", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Surgical Flaps", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Surgical Wound Infection", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Thoracic Surgical Procedures", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Treatment Outcome", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Yamaguchi University", 
          "id": "https://www.grid.ac/institutes/grid.268397.1", 
          "name": [
            "Departments of Surgery and Clinical Science, Division of Cardiac Surgery, Yamaguchi University, Graduate School of Medicine, 1-1-1 Minami-Kogushi, 755-8505, Ube, Yamaguchi, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kobayashi", 
        "givenName": "Toshiro", 
        "id": "sg:person.01245622064.15", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01245622064.15"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Yamaguchi University", 
          "id": "https://www.grid.ac/institutes/grid.268397.1", 
          "name": [
            "Departments of Surgery and Clinical Science, Division of Cardiac Surgery, Yamaguchi University, Graduate School of Medicine, 1-1-1 Minami-Kogushi, 755-8505, Ube, Yamaguchi, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Mikamo", 
        "givenName": "Akihito", 
        "id": "sg:person.01220003772.16", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01220003772.16"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Yamaguchi University", 
          "id": "https://www.grid.ac/institutes/grid.268397.1", 
          "name": [
            "Departments of Surgery and Clinical Science, Division of Cardiac Surgery, Yamaguchi University, Graduate School of Medicine, 1-1-1 Minami-Kogushi, 755-8505, Ube, Yamaguchi, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kurazumi", 
        "givenName": "Hiroshi", 
        "id": "sg:person.01320541456.91", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01320541456.91"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Yamaguchi University", 
          "id": "https://www.grid.ac/institutes/grid.268397.1", 
          "name": [
            "Departments of Surgery and Clinical Science, Division of Cardiac Surgery, Yamaguchi University, Graduate School of Medicine, 1-1-1 Minami-Kogushi, 755-8505, Ube, Yamaguchi, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Suzuki", 
        "givenName": "Ryo", 
        "id": "sg:person.0667332135.34", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0667332135.34"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Yamaguchi University", 
          "id": "https://www.grid.ac/institutes/grid.268397.1", 
          "name": [
            "Departments of Surgery and Clinical Science, Division of Cardiac Surgery, Yamaguchi University, Graduate School of Medicine, 1-1-1 Minami-Kogushi, 755-8505, Ube, Yamaguchi, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Shirasawa", 
        "givenName": "Bungo", 
        "id": "sg:person.01023521764.59", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01023521764.59"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Yamaguchi University", 
          "id": "https://www.grid.ac/institutes/grid.268397.1", 
          "name": [
            "Departments of Surgery and Clinical Science, Division of Cardiac Surgery, Yamaguchi University, Graduate School of Medicine, 1-1-1 Minami-Kogushi, 755-8505, Ube, Yamaguchi, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hamano", 
        "givenName": "Kimikazu", 
        "id": "sg:person.0675405014.04", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0675405014.04"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1001/archsurg.1989.01410100094016", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001118268"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0003-4975(02)03948-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004079433"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0003-4975(02)03948-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004079433"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1067/mtc.2003.74", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005594417"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1067/mtc.2003.74", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005594417"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00006534-200205000-00015", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008552978"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00006534-200205000-00015", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008552978"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0895-4356(98)00095-x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010107523"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1067/mtc.2002.121306", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1015562943"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1378/chest.118.2.397", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018231739"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1378/chest.118.2.397", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018231739"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.athoracsur.2005.04.005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018288604"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0895-4356(98)00096-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1020357254"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1445-1433.2001.02225.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1020654163"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.sap.0000105524.75597.e0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021506614"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.sap.0000105524.75597.e0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021506614"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0022-5223(03)00352-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1022064523"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0022-5223(03)00352-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1022064523"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-198006000-00012", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024156630"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-198006000-00012", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024156630"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-198006000-00012", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024156630"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000637-199706000-00001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024915789"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000637-199706000-00001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024915789"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0003-4975(95)01035-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025597884"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.athoracsur.2005.03.035", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1026218643"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archsurg.1963.01310090034006", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1031548475"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000637-199706000-00002", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036599995"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000637-199706000-00002", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036599995"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00006534-198912000-00011", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046496808"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00006534-198912000-00011", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046496808"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.ejcts.2003.11.019", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047315673"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0003-4975(99)01159-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052957675"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s1010-7940(01)00873-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1054669380"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199803000-00019", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134742"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199803000-00019", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134742"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199803000-00019", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134742"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1161/01.cir.92.8.2245", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1063336675"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2011-12", 
    "datePublishedReg": "2011-12-01", 
    "description": "BACKGROUND: Deep sternal wound infection after cardiac surgery carries high morbidity and mortality. Our strategy for deep sternal wound infection is aggressive strenal debridement followed by vacuum-assisted closure (VAC) therapy and omental-muscle flap reconstrucion. We describe this strategy and examine the outcome and long-term quality of life (QOL) it achieves.\nMETHODS: We retrospectively examined 16 patients treated for deep sternal wound infection between 2001 and 2007. The most recent nine patients were treated with total sternal resection followed by VAC therapy and secondary closure with omental-muscle flap reconstruction (recent group); whereas the former seven patients were treated with sternal preservation if possible, without VAC therapy, and four of these patients underwent primary closure (former group). We assessed long-term quality of life after DSWI by using the Short Form 36-Item Health Survey, Version 2 (SF36v2).\nRESULTS: One patient died and four required further surgery for recurrence of deep sternal wound infection in the former group. The duration of treatment for deep sternal wound infection in the recent group was significantly shorter than that in previous group (63.4 \u00b1 54.1 days vs. 120.0 \u00b1 31.8 days, respectively; p = 0.039). Despite aggressive sternal resection, the QOL of patients treated for DSWI was only minimally compromised compared with age-, sex-, surgical procedures-matched patients without deep sternal wound infection.\nCONCLUSIONS: Aggressive sternal debridement followed by VAC therapy and secondary closure with an omental-muscle flap is effective for deep sternal wound infection. In this series, it resulted in a lower incidence of recurrent infection, shorter hospitalization, and it did not compromise long-term QOL greatly.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1186/1749-8090-6-56", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isFundedItemOf": [
      {
        "id": "sg:grant.6036795", 
        "type": "MonetaryGrant"
      }
    ], 
    "isPartOf": [
      {
        "id": "sg:journal.1036453", 
        "issn": [
          "1749-8090"
        ], 
        "name": "Journal of Cardiothoracic Surgery", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "6"
      }
    ], 
    "name": "Secondary omental and pectoralis major double flap reconstruction following aggressive sternectomy for deep sternal wound infections after cardiac surgery", 
    "pagination": "56", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "248c75ca329b2c009f9d096962bf1911bfa306beb993c96a641ca0421eb923d3"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "21501461"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "101265113"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/1749-8090-6-56"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1007673006"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/1749-8090-6-56", 
      "https://app.dimensions.ai/details/publication/pub.1007673006"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-10T16:41", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8669_00000510.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1186%2F1749-8090-6-56"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/1749-8090-6-56'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/1749-8090-6-56'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/1749-8090-6-56'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/1749-8090-6-56'


 

This table displays all metadata directly associated to this object as RDF triples.

249 TRIPLES      21 PREDICATES      71 URIs      39 LITERALS      27 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/1749-8090-6-56 schema:about N028ccf30f296446588320c4cd4672e6d
2 N0ea9ffc5ab0a42c084b80131764098c2
3 N0f31bfa163594a17991458c92b7708b7
4 N1818f158dd3c4fcc84cf66c113c23a33
5 N41dfb632dfa1432d94062c8787b18a2d
6 N64701a904e294f99bc0f4d1de83465d9
7 N8c8fc039ce4b4f4094303ca0ada5e8d0
8 N8de053bdf0c049868017eb7bb5c9e1c4
9 N9d5c3daeb1d1452e9c829ef4b8c2813b
10 Ncb3e0f4c740c462cb80f35a0dd55d156
11 Nd0c8f3b4eb5d44259e4746a7980d1b09
12 Nd24ababd9e224af7937696a7a7fe4178
13 Ne06f77685cb8450eac29e97c651ab452
14 Ne505a3ea5e314d59ad39a2f0ca8b6605
15 Neb1c6fc891cd45a898dd85ae2ad899e4
16 Nf34091bbc8b247b89c9224a423224274
17 Nf46445eee4f14117a52c10658d2f3aaa
18 Nfecbcedb26c74bae9ea6629e3046d032
19 anzsrc-for:11
20 anzsrc-for:1103
21 schema:author N8837d87ded82481b8716612b62db72a4
22 schema:citation https://doi.org/10.1001/archsurg.1963.01310090034006
23 https://doi.org/10.1001/archsurg.1989.01410100094016
24 https://doi.org/10.1016/0003-4975(95)01035-1
25 https://doi.org/10.1016/j.athoracsur.2005.03.035
26 https://doi.org/10.1016/j.athoracsur.2005.04.005
27 https://doi.org/10.1016/j.ejcts.2003.11.019
28 https://doi.org/10.1016/s0003-4975(02)03948-6
29 https://doi.org/10.1016/s0003-4975(99)01159-5
30 https://doi.org/10.1016/s0022-5223(03)00352-0
31 https://doi.org/10.1016/s0895-4356(98)00095-x
32 https://doi.org/10.1016/s0895-4356(98)00096-1
33 https://doi.org/10.1016/s1010-7940(01)00873-9
34 https://doi.org/10.1046/j.1445-1433.2001.02225.x
35 https://doi.org/10.1067/mtc.2002.121306
36 https://doi.org/10.1067/mtc.2003.74
37 https://doi.org/10.1097/00000637-199706000-00001
38 https://doi.org/10.1097/00000637-199706000-00002
39 https://doi.org/10.1097/00000658-198006000-00012
40 https://doi.org/10.1097/00000658-199803000-00019
41 https://doi.org/10.1097/00006534-198912000-00011
42 https://doi.org/10.1097/00006534-200205000-00015
43 https://doi.org/10.1097/01.sap.0000105524.75597.e0
44 https://doi.org/10.1161/01.cir.92.8.2245
45 https://doi.org/10.1378/chest.118.2.397
46 schema:datePublished 2011-12
47 schema:datePublishedReg 2011-12-01
48 schema:description BACKGROUND: Deep sternal wound infection after cardiac surgery carries high morbidity and mortality. Our strategy for deep sternal wound infection is aggressive strenal debridement followed by vacuum-assisted closure (VAC) therapy and omental-muscle flap reconstrucion. We describe this strategy and examine the outcome and long-term quality of life (QOL) it achieves. METHODS: We retrospectively examined 16 patients treated for deep sternal wound infection between 2001 and 2007. The most recent nine patients were treated with total sternal resection followed by VAC therapy and secondary closure with omental-muscle flap reconstruction (recent group); whereas the former seven patients were treated with sternal preservation if possible, without VAC therapy, and four of these patients underwent primary closure (former group). We assessed long-term quality of life after DSWI by using the Short Form 36-Item Health Survey, Version 2 (SF36v2). RESULTS: One patient died and four required further surgery for recurrence of deep sternal wound infection in the former group. The duration of treatment for deep sternal wound infection in the recent group was significantly shorter than that in previous group (63.4 ± 54.1 days vs. 120.0 ± 31.8 days, respectively; p = 0.039). Despite aggressive sternal resection, the QOL of patients treated for DSWI was only minimally compromised compared with age-, sex-, surgical procedures-matched patients without deep sternal wound infection. CONCLUSIONS: Aggressive sternal debridement followed by VAC therapy and secondary closure with an omental-muscle flap is effective for deep sternal wound infection. In this series, it resulted in a lower incidence of recurrent infection, shorter hospitalization, and it did not compromise long-term QOL greatly.
49 schema:genre research_article
50 schema:inLanguage en
51 schema:isAccessibleForFree true
52 schema:isPartOf Na330d4b6524b4b32a5ab0c9acb9749a7
53 Nf4bcbdeaa694425bac6e1beea1d07a27
54 sg:journal.1036453
55 schema:name Secondary omental and pectoralis major double flap reconstruction following aggressive sternectomy for deep sternal wound infections after cardiac surgery
56 schema:pagination 56
57 schema:productId N2371e902e3854ab9a9462f3ad506da0a
58 N2fc0e18d586a4f3098cf4ae01227f3a1
59 N5796a49e1ea54aecb86701651d52f525
60 N8bbb8d1daaf44f90be8c9621667faea9
61 Na3106b1a58aa40a88970f852ce9b5e92
62 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007673006
63 https://doi.org/10.1186/1749-8090-6-56
64 schema:sdDatePublished 2019-04-10T16:41
65 schema:sdLicense https://scigraph.springernature.com/explorer/license/
66 schema:sdPublisher N43367f3516cf4c8cbc43181c82ac4b52
67 schema:url http://link.springer.com/10.1186%2F1749-8090-6-56
68 sgo:license sg:explorer/license/
69 sgo:sdDataset articles
70 rdf:type schema:ScholarlyArticle
71 N028ccf30f296446588320c4cd4672e6d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
72 schema:name Quality of Life
73 rdf:type schema:DefinedTerm
74 N0ea9ffc5ab0a42c084b80131764098c2 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
75 schema:name Female
76 rdf:type schema:DefinedTerm
77 N0f31bfa163594a17991458c92b7708b7 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
78 schema:name Treatment Outcome
79 rdf:type schema:DefinedTerm
80 N1818f158dd3c4fcc84cf66c113c23a33 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
81 schema:name Reconstructive Surgical Procedures
82 rdf:type schema:DefinedTerm
83 N2371e902e3854ab9a9462f3ad506da0a schema:name nlm_unique_id
84 schema:value 101265113
85 rdf:type schema:PropertyValue
86 N2fc0e18d586a4f3098cf4ae01227f3a1 schema:name readcube_id
87 schema:value 248c75ca329b2c009f9d096962bf1911bfa306beb993c96a641ca0421eb923d3
88 rdf:type schema:PropertyValue
89 N3f48477c79c14b60a3a9c54a16ac0e6e rdf:first sg:person.0675405014.04
90 rdf:rest rdf:nil
91 N41dfb632dfa1432d94062c8787b18a2d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
92 schema:name Pectoralis Muscles
93 rdf:type schema:DefinedTerm
94 N43367f3516cf4c8cbc43181c82ac4b52 schema:name Springer Nature - SN SciGraph project
95 rdf:type schema:Organization
96 N4895e938beb14e88a16b32ca10c89cab rdf:first sg:person.0667332135.34
97 rdf:rest N98f4871d190c433887321714efefd6f8
98 N5796a49e1ea54aecb86701651d52f525 schema:name doi
99 schema:value 10.1186/1749-8090-6-56
100 rdf:type schema:PropertyValue
101 N64701a904e294f99bc0f4d1de83465d9 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
102 schema:name Middle Aged
103 rdf:type schema:DefinedTerm
104 N8837d87ded82481b8716612b62db72a4 rdf:first sg:person.01245622064.15
105 rdf:rest Ne7cba95086e640a297b0c1fca5760e22
106 N8bbb8d1daaf44f90be8c9621667faea9 schema:name pubmed_id
107 schema:value 21501461
108 rdf:type schema:PropertyValue
109 N8c8fc039ce4b4f4094303ca0ada5e8d0 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
110 schema:name Debridement
111 rdf:type schema:DefinedTerm
112 N8de053bdf0c049868017eb7bb5c9e1c4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
113 schema:name Cardiac Surgical Procedures
114 rdf:type schema:DefinedTerm
115 N928c75217a1b41b2a6b36fccabee6c79 rdf:first sg:person.01320541456.91
116 rdf:rest N4895e938beb14e88a16b32ca10c89cab
117 N98f4871d190c433887321714efefd6f8 rdf:first sg:person.01023521764.59
118 rdf:rest N3f48477c79c14b60a3a9c54a16ac0e6e
119 N9d5c3daeb1d1452e9c829ef4b8c2813b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
120 schema:name Sternotomy
121 rdf:type schema:DefinedTerm
122 Na3106b1a58aa40a88970f852ce9b5e92 schema:name dimensions_id
123 schema:value pub.1007673006
124 rdf:type schema:PropertyValue
125 Na330d4b6524b4b32a5ab0c9acb9749a7 schema:volumeNumber 6
126 rdf:type schema:PublicationVolume
127 Ncb3e0f4c740c462cb80f35a0dd55d156 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
128 schema:name Surgical Flaps
129 rdf:type schema:DefinedTerm
130 Nd0c8f3b4eb5d44259e4746a7980d1b09 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
131 schema:name Aged
132 rdf:type schema:DefinedTerm
133 Nd24ababd9e224af7937696a7a7fe4178 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
134 schema:name Aged, 80 and over
135 rdf:type schema:DefinedTerm
136 Ne06f77685cb8450eac29e97c651ab452 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
137 schema:name Humans
138 rdf:type schema:DefinedTerm
139 Ne505a3ea5e314d59ad39a2f0ca8b6605 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
140 schema:name Omentum
141 rdf:type schema:DefinedTerm
142 Ne7cba95086e640a297b0c1fca5760e22 rdf:first sg:person.01220003772.16
143 rdf:rest N928c75217a1b41b2a6b36fccabee6c79
144 Neb1c6fc891cd45a898dd85ae2ad899e4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
145 schema:name Male
146 rdf:type schema:DefinedTerm
147 Nf34091bbc8b247b89c9224a423224274 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
148 schema:name Retrospective Studies
149 rdf:type schema:DefinedTerm
150 Nf46445eee4f14117a52c10658d2f3aaa schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
151 schema:name Surgical Wound Infection
152 rdf:type schema:DefinedTerm
153 Nf4bcbdeaa694425bac6e1beea1d07a27 schema:issueNumber 1
154 rdf:type schema:PublicationIssue
155 Nfecbcedb26c74bae9ea6629e3046d032 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
156 schema:name Thoracic Surgical Procedures
157 rdf:type schema:DefinedTerm
158 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
159 schema:name Medical and Health Sciences
160 rdf:type schema:DefinedTerm
161 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
162 schema:name Clinical Sciences
163 rdf:type schema:DefinedTerm
164 sg:grant.6036795 http://pending.schema.org/fundedItem sg:pub.10.1186/1749-8090-6-56
165 rdf:type schema:MonetaryGrant
166 sg:journal.1036453 schema:issn 1749-8090
167 schema:name Journal of Cardiothoracic Surgery
168 rdf:type schema:Periodical
169 sg:person.01023521764.59 schema:affiliation https://www.grid.ac/institutes/grid.268397.1
170 schema:familyName Shirasawa
171 schema:givenName Bungo
172 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01023521764.59
173 rdf:type schema:Person
174 sg:person.01220003772.16 schema:affiliation https://www.grid.ac/institutes/grid.268397.1
175 schema:familyName Mikamo
176 schema:givenName Akihito
177 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01220003772.16
178 rdf:type schema:Person
179 sg:person.01245622064.15 schema:affiliation https://www.grid.ac/institutes/grid.268397.1
180 schema:familyName Kobayashi
181 schema:givenName Toshiro
182 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01245622064.15
183 rdf:type schema:Person
184 sg:person.01320541456.91 schema:affiliation https://www.grid.ac/institutes/grid.268397.1
185 schema:familyName Kurazumi
186 schema:givenName Hiroshi
187 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01320541456.91
188 rdf:type schema:Person
189 sg:person.0667332135.34 schema:affiliation https://www.grid.ac/institutes/grid.268397.1
190 schema:familyName Suzuki
191 schema:givenName Ryo
192 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0667332135.34
193 rdf:type schema:Person
194 sg:person.0675405014.04 schema:affiliation https://www.grid.ac/institutes/grid.268397.1
195 schema:familyName Hamano
196 schema:givenName Kimikazu
197 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0675405014.04
198 rdf:type schema:Person
199 https://doi.org/10.1001/archsurg.1963.01310090034006 schema:sameAs https://app.dimensions.ai/details/publication/pub.1031548475
200 rdf:type schema:CreativeWork
201 https://doi.org/10.1001/archsurg.1989.01410100094016 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001118268
202 rdf:type schema:CreativeWork
203 https://doi.org/10.1016/0003-4975(95)01035-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025597884
204 rdf:type schema:CreativeWork
205 https://doi.org/10.1016/j.athoracsur.2005.03.035 schema:sameAs https://app.dimensions.ai/details/publication/pub.1026218643
206 rdf:type schema:CreativeWork
207 https://doi.org/10.1016/j.athoracsur.2005.04.005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018288604
208 rdf:type schema:CreativeWork
209 https://doi.org/10.1016/j.ejcts.2003.11.019 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047315673
210 rdf:type schema:CreativeWork
211 https://doi.org/10.1016/s0003-4975(02)03948-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1004079433
212 rdf:type schema:CreativeWork
213 https://doi.org/10.1016/s0003-4975(99)01159-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1052957675
214 rdf:type schema:CreativeWork
215 https://doi.org/10.1016/s0022-5223(03)00352-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1022064523
216 rdf:type schema:CreativeWork
217 https://doi.org/10.1016/s0895-4356(98)00095-x schema:sameAs https://app.dimensions.ai/details/publication/pub.1010107523
218 rdf:type schema:CreativeWork
219 https://doi.org/10.1016/s0895-4356(98)00096-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1020357254
220 rdf:type schema:CreativeWork
221 https://doi.org/10.1016/s1010-7940(01)00873-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1054669380
222 rdf:type schema:CreativeWork
223 https://doi.org/10.1046/j.1445-1433.2001.02225.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1020654163
224 rdf:type schema:CreativeWork
225 https://doi.org/10.1067/mtc.2002.121306 schema:sameAs https://app.dimensions.ai/details/publication/pub.1015562943
226 rdf:type schema:CreativeWork
227 https://doi.org/10.1067/mtc.2003.74 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005594417
228 rdf:type schema:CreativeWork
229 https://doi.org/10.1097/00000637-199706000-00001 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024915789
230 rdf:type schema:CreativeWork
231 https://doi.org/10.1097/00000637-199706000-00002 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036599995
232 rdf:type schema:CreativeWork
233 https://doi.org/10.1097/00000658-198006000-00012 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024156630
234 rdf:type schema:CreativeWork
235 https://doi.org/10.1097/00000658-199803000-00019 schema:sameAs https://app.dimensions.ai/details/publication/pub.1060134742
236 rdf:type schema:CreativeWork
237 https://doi.org/10.1097/00006534-198912000-00011 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046496808
238 rdf:type schema:CreativeWork
239 https://doi.org/10.1097/00006534-200205000-00015 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008552978
240 rdf:type schema:CreativeWork
241 https://doi.org/10.1097/01.sap.0000105524.75597.e0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021506614
242 rdf:type schema:CreativeWork
243 https://doi.org/10.1161/01.cir.92.8.2245 schema:sameAs https://app.dimensions.ai/details/publication/pub.1063336675
244 rdf:type schema:CreativeWork
245 https://doi.org/10.1378/chest.118.2.397 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018231739
246 rdf:type schema:CreativeWork
247 https://www.grid.ac/institutes/grid.268397.1 schema:alternateName Yamaguchi University
248 schema:name Departments of Surgery and Clinical Science, Division of Cardiac Surgery, Yamaguchi University, Graduate School of Medicine, 1-1-1 Minami-Kogushi, 755-8505, Ube, Yamaguchi, Japan
249 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...