Retrospective Analysis of Flap Based Management in Deep Sternal Wound Infection in a Tertiary Care Centre –A Single Centre Study
Aims: In this retrospective study we analyzed the outcomes of flap based management in deep sternal wound infection (DSWI). Materials & Methods: Patients, who had undergone open heart surgery through median sternotomy between September 2017 and March 2020 and had developed deep sternal inf...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Prathima Institute of Medical Sciences
2021-10-01
|
| Series: | Perspectives In Medical Research |
| Subjects: | |
| Online Access: | http://www.pimr.org.in/2021-vol9-issue-2/originalarticle15_v2.pdf |
| _version_ | 1797462397224484864 |
|---|---|
| author | Sartaj Ahmad Guroo1 , Ajit K.Padhy2 , Khuswant Popli2 , Ridhika Munjal1 , Navnita Kisko3 , Abhinav Gupta4 |
| author_facet | Sartaj Ahmad Guroo1 , Ajit K.Padhy2 , Khuswant Popli2 , Ridhika Munjal1 , Navnita Kisko3 , Abhinav Gupta4 |
| author_sort | Sartaj Ahmad Guroo1 , Ajit K.Padhy2 , Khuswant Popli2 , Ridhika Munjal1 , Navnita Kisko3 , Abhinav Gupta4 |
| collection | DOAJ |
| description | Aims: In this retrospective study we analyzed the outcomes of
flap based management in deep sternal wound infection
(DSWI).
Materials & Methods: Patients, who had undergone open
heart surgery through median sternotomy between September
2017 and March 2020 and had developed deep sternal
infections, were retrospectively analyzed in this study. Few
patients found to have DSWI were managed only by Negative
Pressure Wound Therapy (NPWT) and few were managed by
NPWT and Bipectoral musculo fascial flap cover. The outcomes
in terms of mortality and readmission in the postoperative
course were obtained from the records during subsequent
follow ups in OPD for six months.
Results: Out of 925 patients 11 patients (1.2%) had deep sternal
wound infection There were six patients (n=6, 54.55%) who
received NPWT where as five patients (n=5, 45.45 %) received
flap surgery following NPWT. The patient who underwent Flap
surgery had a longer postoperative stay than NPWT group
(46.2+/- 22.21, C.I 95%) days Vs (25.5+/- 14.41, C.I 95%) days.
However, the readmission due to recurrence of infection was
seen only in NPWT group (n=3, 50%) with in the period of six
months following discharge. One patient out of the three
readmitted patients expired due to sepsis.
Conclusion: NPWT followed by bipectoral muscle flap closure
has a better surgical outcome than NPW alone in deep sternal
wound infection in early postoperative period |
| first_indexed | 2024-03-09T17:35:53Z |
| format | Article |
| id | doaj.art-9e66fb3d49f0421d9d9a5ad266cf254d |
| institution | Directory Open Access Journal |
| issn | 2348-1447 2348-229X |
| language | English |
| last_indexed | 2024-03-09T17:35:53Z |
| publishDate | 2021-10-01 |
| publisher | Prathima Institute of Medical Sciences |
| record_format | Article |
| series | Perspectives In Medical Research |
| spelling | doaj.art-9e66fb3d49f0421d9d9a5ad266cf254d2023-11-24T11:52:43ZengPrathima Institute of Medical SciencesPerspectives In Medical Research2348-14472348-229X2021-10-0192697210.47799/pimr.0902.15Retrospective Analysis of Flap Based Management in Deep Sternal Wound Infection in a Tertiary Care Centre –A Single Centre StudySartaj Ahmad Guroo1 , Ajit K.Padhy2 , Khuswant Popli2 , Ridhika Munjal1 , Navnita Kisko3 , Abhinav Gupta401. Resident, Department Of Cardiac Surgery, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi Associate Professor, Department Of Cardiac Surgery, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi 3. Assistant Professor, Department Of Cardiac Surgery, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi 4. Professor and Head of Department, Department Of Cardiac Surgery, Vardhaman Mahavir Medical College and Safdarjung Hospital, New DelhiAims: In this retrospective study we analyzed the outcomes of flap based management in deep sternal wound infection (DSWI). Materials & Methods: Patients, who had undergone open heart surgery through median sternotomy between September 2017 and March 2020 and had developed deep sternal infections, were retrospectively analyzed in this study. Few patients found to have DSWI were managed only by Negative Pressure Wound Therapy (NPWT) and few were managed by NPWT and Bipectoral musculo fascial flap cover. The outcomes in terms of mortality and readmission in the postoperative course were obtained from the records during subsequent follow ups in OPD for six months. Results: Out of 925 patients 11 patients (1.2%) had deep sternal wound infection There were six patients (n=6, 54.55%) who received NPWT where as five patients (n=5, 45.45 %) received flap surgery following NPWT. The patient who underwent Flap surgery had a longer postoperative stay than NPWT group (46.2+/- 22.21, C.I 95%) days Vs (25.5+/- 14.41, C.I 95%) days. However, the readmission due to recurrence of infection was seen only in NPWT group (n=3, 50%) with in the period of six months following discharge. One patient out of the three readmitted patients expired due to sepsis. Conclusion: NPWT followed by bipectoral muscle flap closure has a better surgical outcome than NPW alone in deep sternal wound infection in early postoperative periodhttp://www.pimr.org.in/2021-vol9-issue-2/originalarticle15_v2.pdfwound infectionflap based managementdeep sternal wound |
| spellingShingle | Sartaj Ahmad Guroo1 , Ajit K.Padhy2 , Khuswant Popli2 , Ridhika Munjal1 , Navnita Kisko3 , Abhinav Gupta4 Retrospective Analysis of Flap Based Management in Deep Sternal Wound Infection in a Tertiary Care Centre –A Single Centre Study Perspectives In Medical Research wound infection flap based management deep sternal wound |
| title | Retrospective Analysis of Flap Based Management in Deep Sternal Wound Infection in a Tertiary Care Centre –A Single Centre Study |
| title_full | Retrospective Analysis of Flap Based Management in Deep Sternal Wound Infection in a Tertiary Care Centre –A Single Centre Study |
| title_fullStr | Retrospective Analysis of Flap Based Management in Deep Sternal Wound Infection in a Tertiary Care Centre –A Single Centre Study |
| title_full_unstemmed | Retrospective Analysis of Flap Based Management in Deep Sternal Wound Infection in a Tertiary Care Centre –A Single Centre Study |
| title_short | Retrospective Analysis of Flap Based Management in Deep Sternal Wound Infection in a Tertiary Care Centre –A Single Centre Study |
| title_sort | retrospective analysis of flap based management in deep sternal wound infection in a tertiary care centre a single centre study |
| topic | wound infection flap based management deep sternal wound |
| url | http://www.pimr.org.in/2021-vol9-issue-2/originalarticle15_v2.pdf |
| work_keys_str_mv | AT sartajahmadguroo1ajitkpadhy2khuswantpopli2ridhikamunjal1navnitakisko3abhinavgupta4 retrospectiveanalysisofflapbasedmanagementindeepsternalwoundinfectioninatertiarycarecentreasinglecentrestudy |