Elastic Device Facilitating Delayed Primary Closure of Sternal Wound Infection

Joel Price, Fraser Rubens, Michael Bell

Research output: Contribution to journalArticle

Abstract

Purpose: Management of the sternal wound after extensive debridement continues to be a resource-intensive problem in cardiac surgery. There are a number of techniques available to achieve definitive closure of these wounds, all of which have limited effectiveness or are associated with serious complications. This article describes the use of a novel elastic system that approximates these wounds gradually, achieving dynamic wound closure. The purpose of this study is to evaluate the efficacy of this system. Description: We report our initial series of 3 patients who underwent dynamic wound closure using a novel elastomer system after debridement for sternal wound infection. Evaluation: All patients achieved satisfactory healing with a mean duration of 29 days of treatment without additional procedures. Conclusions: Dynamic wound closure is an effective and feasible method of dealing with the open sternotomy wound after debridement.

Original languageEnglish (US)
Pages (from-to)1162-1165
Number of pages4
JournalAnnals of Thoracic Surgery
Volume83
Issue number3
DOIs
StatePublished - Mar 1 2007

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ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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