HealthResJ, health, medicine, nursing, research https://ejournals.epublishing.ekt.gr/index.php/HealthResJ/sitemap

Effectiveness of negative pressure wound healing systems applying in sternotomy after cardiac surgery: a systematic review

PDF
Published: Dec 7, 2018
DOI: https://doi.org/10.12681/healthresj.19296
Keywords:
Negative pressure wound treatment sternotomy cardiac surgery
Eleni Christodoulou
RN, MSc, Urological Clinic, General Hospital of Athens “Ippokrateio"
Georgios Vasilopoulos
Assistant Professor,Department of Nursing,University of West Attica, Athens, Greece
Antonia Kalogianni
Assistant Professor, Nursing Department, University of West Attica, Greece
Edison Jahaj
MD, MSc, PhD(c), Medical School, National and Kapodistrian University of Athens, Greece
Abstract

Introduction: Despite the progress of prevention and peri-operative care of cardiac surgery patients, complications of the surgical wound still occur to 1-3% of patients and they are connected with high rates of hospital mortality.

Aim: The present systematic review aims to investigate the effectiveness of the application of negative pressure wound therapy in median sternotomy wounds after cardiac surgery that occur deep infections.

Material and Method: All the relevant Greek and International bibliography was searched  to Pubmed, Cinahl, Sciverse Scopus and Proquest database. The Key words that were used were negative pressure wound treatment AND sternotomy AND cardiac surgery regarding the pursuit of the title, the abstract or the key words for publications from 2012 and after.

Results: From 123 articles, 7 articles were finally chosen for studying of the full text. According to the results of the review,  negative pressure wound treatment’s use to median sternotomy wounds provide the healing, the treatment and the prevention of infections and contributes to the reduction of the time and cost of hospitalization.

Conclusions: The need to carry out more randomized clinical trials is highlighted so that the results can be generalized.

Article Details
  • Section
  • Reviews

Copyright notice:

Authors retain copyright of their work and grant the Health and Research Journal the right of first publication.

License:
Articles are published under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license permits use, sharing, adaptation, distribution, and reproduction in any medium or format, including for commercial purposes, provided that appropriate credit is given to the author(s) and the original publication in this journal, a link to the license is provided, and any changes are indicated.

Attribution requirement:
Any reuse must include the article citation and DOI (where available), and indicate if changes were made.

Downloads
Download data is not yet available.
References
Morisaki A, Hosono M, Murakami T, Sakagushi M, Suehiro Y, Nishimura S, et al Effect of negative wound pressure therapy followed by tissue flaps for deep sterna wound infection after cardiovascular surgery: propensity score matching analysis. Inter Cardiovasc Thorac Surg. 2016; 23(3):397-402.
Pan L, Mo R, Zhou G, Wang D. Deep sternal wound infection after cardiac surgery in the Chinese population- a single –centre 15-year retrospective study Journal of thoracic Disease 2017;9(9):3031-3037.
Perrault L, Krkwood K, Chang H, MullenJ, Gualack B, Argenziano M et al. A prospective Multi-Institutional Cohort Study of Mediastinal Infections after Cardiac Operations Ann Thorac Surg 2018; 105:461-8.
Pilarczyk K, Marggraf G, Dudasova M, Demircioglu E, Scheer V, Jakob H et al. Trachiostomy after cardiac surgery with median sternotomy and risk of deep sterna wound infections: Is it a matter of Timing ? J. Cardiothorac Vasc Anesth 2015; 29:1573-81.
Dohmen P, Markon T, Ingemansson R, Rotering H, Hartman J, Valen R, et al. Use of incisional Negative Pressure Wound Therapy on Closed Median Sternal Incisions after Cardiothoracic Surgery: Clinical Evidence and Consensus Recommendations, Medical Science Monitor 2014; 20:1814-1825.
Listewnik M, Sielicki P, Mokrzycki K, Biskupski A. & Brykczynski M. The Use of Vacuum-Assisted closure in Purulent Complications and difficult –To Heal Wounds in Cardiac Surgery. Adv Clin Exp Med 2015; 24(4): 643-650.
Cotogni P, Barbero C. & Rinaldi M. Deep sternal wound infection after cardiac surgery: Evidences and controversies. World Journal of Critical Care Medicine 2015; 4(4): 265-273.
Kaul P . Sternal reconstruction after post-sternotomy mediastinitis. J Cardiovasc Surg 2017;12:94.
Zeitani J, Pompeo E, Nardi P, Sergiacomi G, Scognamiglio M, Chiariello G. et al Early and long-term results of pectoralis muscle flap reconstruction versus sternal rewiring foolowing failed sterna closure. Eur J Cardiothorac Surg 2013;43(6)e144-e150.
Lima R, Coltro PS, Farima JA Junior. Negative Pressure Wound therapy for the treatment of complex wounds, Revista do Colegio Brasileiro de Cirurgioes 2017; 44.
Glass GE & Nanchatial J .The methodology of negative pressure wound therapy: separating fact from fiction. J Plast Reconst Aesth Surg 2012; 65(8):989-1001.
Streingrimsson S, Gottfredsson M, Gudmundsdottir I, Sjogren J, Gudbjartsson T Negative pressure wound therapy for deep sternal wound infections reduces the rate of surgical interventions for early re-infections, Interactive Cardiovascular and Thoracic Surgery 2012;15(3):406-410.
Kalab M, Karkoska J, Kaminek M, Matejkova E, Slamenikova Z, Klvacek A et al Reconstruction of massive post-sternotomy defects with allogeneic bone graft four-year results and experience using the method. Inter Cardiovasc Thorac Surg 2016;22(3):305-313.
Liberati A, Altman D, TetzlaffJ, Mulrow C, Gøtzsche P, Ioannidis J et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 2009; 339 :b2700.
Lo Torto F, Monfrecola A, Kaciulyte J, Ciudad P., Casella D, Ribuffo D, et al. Preliminary result with incisional negative wound therapy and oectoralis major flap for median sternotomy wound infection in a high-risk patient population, International Wound Journal 2017; 14:1335-1339.
Grauhan O, Navasardyan A, Tutkun B, Hennig F, Muller P, Hummel M, et al. Effect of surgical incision management on wounds infections in a post-sternotomy patient population. Int Wound J 2014; 11;6-9.
Pericleous A, Dimitrakakis G, Photiades R, Oppell U.O Assessment of vacuum-assisted closure therapy on the wound healing process in cardiac surgery, Intern. Wound Journal 2016; 13:1142-1149.
Tarzia V, Carrozzini M, Bortolussi G, Buratto e, Bejko J, Comisso M,et al. Impact of vacuum-assisted closure therapy on outcomes of sternal wound dehiscence. Interactive Cardiovascular and Thorasic Surgery 2014;19(1): 70-75.
Witt-Marchrzak A, Zelazny P, Snarska J Preliminary outcome of treatment of postoperative primarily closed sternotomy wounds treated using negative pressure wound therapy. Polski Przeglad Chirurgiczny 2014;86(10):456-465.
Grauhan O, Navasardyan A, Hofmann M, Muller P, Stein J, Hetzer R Prevention of post-sternotomy wound infections in obese patients by negative pressure wound therapy The Journal of thoracic and cardiovascular Surgery 2013; 145(5):1387-1392.
Deniz H, Gokaslan G, Arsanoglou Y, Ozcaliskan O, Guzel G, Yasim A Treatment of postoperative mediastinitis in cardiac surgery: negative pressure wound therapy versus convetional treatment, Journal of cardiothoracic Surgery 2012;7:67.
Most read articles by the same author(s)