Deep sternal wound infection: a sternal-sparing technique with vacuum-assisted closure therapy Ronny I Gustafsson, MD, Johan Sjögren, MD, Richard Ingemansson,

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Presentation transcript:

Deep sternal wound infection: a sternal-sparing technique with vacuum-assisted closure therapy Ronny I Gustafsson, MD, Johan Sjögren, MD, Richard Ingemansson, MD, PhD The Annals of Thoracic Surgery Volume 76, Issue 6, Pages 2048-2053 (December 2003) DOI: 10.1016/S0003-4975(03)01337-7

Fig 1 (A) Three or four layers of Jelonet cover the heart and grafts. (B) A tube is inserted into the center of the sternal foam layer and sutured in place. (C) The superficial foam layer is sutured to the surrounding subcutaneous tissue and a skin protector is applied. (D) The tubes are positioned 5 cm apart to facilitate application of the draping around the tubes. The Annals of Thoracic Surgery 2003 76, 2048-2053DOI: (10.1016/S0003-4975(03)01337-7)

Fig 2 The wound is ready for refixation after high negative pressure treatment. The Annals of Thoracic Surgery 2003 76, 2048-2053DOI: (10.1016/S0003-4975(03)01337-7)