Erschienen in:
27.05.2019 | CORRESPONDENCE
Negative pressure wound therapy with instillation on sternal wound: is it really worrisome?
verfasst von:
Hardeep Singh, Sanjay Mahendru, Rakesh Kumar Khazanchi
Erschienen in:
Indian Journal of Thoracic and Cardiovascular Surgery
|
Ausgabe 4/2019
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Excerpt
Negative pressure wound therapy is being used for treatment of sternal wound infections for a long time [
1]. It reduces the reinfection rate, the overall hospital stay, and mortality [
2]. Negative pressure wound therapy with instillation (NPWTi) is also in use for a couple of years (for different parts of the body) [
3]. NPWTi has been proven to have better results than the standard NPWT [
4]. There is reluctance in the use of NPWTi on sternal wounds, both by the manufacturer and the surgeons. Manufacturers recommend this as off-label use for sternal wounds. The reasons sighted are (1) risk of bleeding and (2) possible leakage of the fluid in the thoracic cavity [
5]. For the same reasons, there are hardly any publications on the use of NPWTi on sternal wounds. …