A new classification of post-sternotomy dehiscence

Revista Brasileira de Cirurgia Cardiovascular

Jaime Anger¹  Daniel Chagas Dantas¹  Renato Tambellini Arnoni¹  Pedro Sílvio Farsky¹ 

关键词: Thoracotomy;    Surgical wound infection;    Sternum;    Postoperative complications;    Toracotomia;    Complicações pós-operatórias;    Infecção da ferida operatória;    Esterno;   

DOI  :  10.5935/1678-9741.20140033

来源: SciELO

【 摘 要 】

The dehiscence after median transesternal sternotomy used as surgical access for cardiac surgery is one of its complications and it increases the patient's morbidity and mortality. A variety of surgical techniques were recently described resulting to the need of a classification bringing a measure of objectivity to the management of these complex and dangerous wounds. The different related classifications are based in the primary causal infection, but recently the anatomical description of the wound including the deepness and the vertical extension showed to be more useful. We propose a new classification based only on the anatomical changes following sternotomy dehiscence and chronic wound formation separating it in four types according to the deepness and in two sub-groups according to the vertical extension based on the inferior insertion of the pectoralis major muscle.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License