ReviewJournal of cardiothoracic surgery2014
Poststernotomy mediastinitis: a classification to initiate and evaluate reconstructive management based on evidence from a structured review.
Review in Journal of cardiothoracic surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed.
- The effect of local anesthetic continuous wound infusion for the prevention of postoperative pneumonia after on-pump cardiac surgery with sternotomy: the STERNOCAT randomized clinical trial.Intensive care medicine · 2019Trial
- Suspicious CT Findings Suggesting Mediastinitis or Sternal Osteomyelitis in Clinically Uninfected Patients After Cardiac Surgery: A 10-Year Single-Center Retrospective Study.Diagnostics (Basel, Switzerland) · 2026Article
- Osteomyelitis in Deep Sternal Wound Infections: Revisited-A Single-Center Observational Study.Life (Basel, Switzerland) · 2025Article
- [Clinical efficacy of multidisciplinary team collaboration in the treatment of deep sternal wound infection].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2025Article
- [Perioperative management of wounds associated with secondary sternal osteomyelitis and/or mediastinitis after sternotomy and its clinical effects].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2024Observational
- [Pay attention to the prevention and treatment of deep sternal wound infection after sternotomy].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2024Article
- Review on risk factors, classification, and treatment of sternal wound infection.Journal of cardiothoracic surgery · 2023Review
- A new clinical classification and reconstructive strategy for post-sternotomy surgical site infection.Regenerative therapy · 2022Article
- Surgical Site Infection in Cardiac Surgery.Journal of clinical medicine · 2022Review
- Prevention, Diagnosis and Management of Post-Surgical Mediastinitis in Adults Consensus Guidelines of the Spanish Society of Cardiovascular Infections (Journal of clinical medicine · 2021Review
- Incidence of Venous Thromboembolism after Sternal Reconstruction: A Single-center Retrospective Review.Plastic and reconstructive surgery. Global open · 2021Article
- Comparing Negative Pressure Wound Therapy with Instillation and Conventional Dressings for Sternal Wound Reconstructions.Plastic and reconstructive surgery. Global open · 2019Article
- Incisional negative pressure wound therapy in reconstructive surgery of poststernotomy mediastinitis.International wound journal · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Early recognition and, where possible, avoidance of risk factors that contribute to the development of poststernotomy mediastinitis (PSM) form the basis for successful prevention. Once the presence of PSM is diagnosed, the known risk factors have been shown to have limited influence on management decisions. Evidence-based knowledge on treatment decisions, which include the extent and type of surgical intervention (other than debridement), timing and others is available but has not yet been incorporated into a classification on management decisions regarding PSM. Ours is a first attempt at developing a classification system for management of PSM, taking the various evidence-based reconstructive options into consideration. The classification is simple to introduce (there are four Types) and relies on the careful establishment of two variables (sternal stability and sternal bone viability and stock) prior to deciding on the best available reconstructive option. It should allow better insight into why treatment decisions fail or have to be altered and will allow better comparison of treatment outcomes between various institutions.
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