Evidence map›Paper›PMID 31336416›Full record

ArticleArchives of plastic surgery2019

Deep sternal wound infections: Evidence for prevention, treatment, and reconstructive surgery.

Luigi Schiraldi, Gaby Jabbour, Paolo Centofanti, Salvatore Giordano, Etienne Abdelnour, Michel Gonzalez, Wassim Raffoul, Pietro Giovanni di Summa

Abstract read
In one paragraph

Article in Archives of plastic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Article
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  4. Evolution of postsurgical mediastinitis after Major Heart Surgery (MHS) in the last 12 years: Are we improving?Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Luigi SchiraldiDepartment of Surgery, Hospital du Valais, Sion, Switzerland.
Gaby JabbourDepartment of Plastic and Reconstructive Surgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Paolo CentofantiDepartment of Cardiac Surgery, Mauriziano Hospital, Turin, Italy.
Salvatore GiordanoDepartment of Plastic and General Surgery, Turku University Hospital, Turku, Finland.
Etienne AbdelnourDepartment of Thoracic Surgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Michel GonzalezDepartment of Thoracic Surgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Wassim RaffoulDepartment of Plastic and Reconstructive Surgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Pietro Giovanni di SummaDepartment of Plastic and Reconstructive Surgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Median sternotomy is the most popular approach in cardiac surgery. Post-sternotomy wound complications are rare, but the occurrence of a deep sternal wound infection (DSWI) is a catastrophic event associated with higher morbidity and mortality, longer hospital stays, and increased costs. A literature review was performed by searching PubMed from January 1996 to August 2017 according to the guidelines in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The following keywords were used in various combinations: DSWI, post-sternotomy complication, and sternal reconstruction. Thirty-nine papers were included in our qualitative analysis, in which each aspect of the DSWI-related care process was analyzed and compared to the actual standard of care. Plastic surgeons are often involved too late in such clinical scenarios, when previous empirical treatments have failed and a definitive reconstruction is needed. The aim of this comprehensive review was to create an up-to-date operative flowchart to prevent and properly treat sternal wound infection complications after median sternotomy.

Indexed as

InfectionReconstructive surgical procedureSternotomySternum

Identifiers

PMID31336416
PMCPMC6657195

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.