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Sternal wound infection after Cardiac surgery Dr Aliasghar moinipoor Dr Hamid Hoseinikhah Department of Cardiac surgery of Imamreza Hospital.

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Presentation on theme: "Sternal wound infection after Cardiac surgery Dr Aliasghar moinipoor Dr Hamid Hoseinikhah Department of Cardiac surgery of Imamreza Hospital."— Presentation transcript:

1 Sternal wound infection after Cardiac surgery Dr Aliasghar moinipoor Dr Hamid Hoseinikhah Department of Cardiac surgery of Imamreza Hospital

2 Incidencae Incidence of sternal wound infection in Cardiac surgery patient is estimated about 1 to 4% Sternal wound infection have potentially life threatening comobidity

3 Predisposing Risk factor
advanced Age DM Massive Transfusion Obesity Long duration of operation time Need for Reexploration due bleeding

4 Treatment Options Antibiotic Theraphy Only (IV_ Oral)
Opening the Wound and Dressing Surgical debridment Hemovac Dranage system

5 Case Series: We evaluate 3 Patients after CABG
Sign of Wound infection in 5-7 days They have superficial and deep infection without Mediastinitis After wound Specimen and B/C was taken IV Ab (Meropnem+Vanocomycin)

6 ReExplore was done in Operating Room
Debridment and Irrigation of Infected Tissue was done 2 Hemovac Drain was insetrted in Subcutaneous tissue and skin was closed I.V Ab was continued until 1 week and Oral Ab for 2 Weeks

7 The result of Culture Specimen was Staphilococous Epidermis
Patients Have Drain for 1 weeks

8 Result: After 2 weeks these Patients havenot any Sign and Symptom of Wound Infection

9 Conclusion: We recommend Hemovac Dranage system as a safe and effective options for Treatment of Sternal Wound Infection after Cardiac surgery.


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