ReviewJPRAS open2021
The management of deep sternal wound infection: Literature review and reconstructive algorithm.
Review in JPRAS open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mortality after sternal reconstruction with pectoralis major flap vs omental flap for postsurgical mediastinitis: A systematic review and meta-analysis.Journal of cardiac surgery · 2022Pooled it
- Adjunctive hyperbaric oxygen therapy for poststernotomy deep sternal wound infection, mediastinitis, and sternal osteomyelitis after cardiac surgery: a scoping review.Journal of cardiothoracic surgery · 2026Article
- Orthoplastic management of delayed sternal osteomyelitis and non-union: a retrospective case series applying fracture-related infection principles.International orthopaedics · 2026Article
- A novel hydrogel dressing for surgical site infection prevention in cardiac surgery: case series.Journal of cardiothoracic surgery · 2026Article
- Surgical Versus Conservative Treatment of Post-Sternotomy Mediastinitis: Clinical Characteristics, Microbiology, and Outcomes from a 10-Year Cohort.Diagnostics (Basel, Switzerland) · 2026Article
- Impact of delayed sternal closure and negative pressure therapy after complex cardiovascular surgery.Journal of cardiothoracic surgery · 2025Observational
- Article
- The wound microbiome associated with deep sternal wound infection: a scoping review.Journal of thoracic disease · 2025Review
- Article
- Wound Healing Complications After Sternotomy-Causes, Prevention, and Treatment-A New Look at an Old Problem.Journal of clinical medicine · 2024Review
- Sternal Wound Reconstruction Following Deep Sternal Wound Infection: Past, Present and Future: A Literature Review.Journal of cardiovascular development and disease · 2024Review
- Transverse colon herniation into the anterior mediastinum following omental flap treatment for deep sternal wound infection.BMJ case reports · 2024Article
- Antibiotic-loaded bone cement fixation technique combined with bilateral pectoralis major muscle flaps tension-free management for sternal infection after midline sternotomy.Journal of cardiothoracic surgery · 2024Article
- [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
- The impact of two radical sternectomy surgical techniques on the outcome of deep sternal wound infections.Journal of cardiothoracic surgery · 2024Article
- The role of negative pressure wound therapy in the treatment of poststernotomy mediastinitis in Asians: A single-center, retrospective cohort study.Health science reports · 2023Article
- A single-patient-use ECG system for cardiothoracic surgery admissions in the UK: A cost-consequence analysis.Frontiers in public health · 2023Article
- Using Closed Incision Negative Pressure Therapy Specialty Dressings over Incisions following Sternal Dehiscence Reconstruction.Plastic and reconstructive surgery. Global open · 2022Article
- The ımportance of ınflammatory parameters ın predıctıng deep sternal wound ınfectıons after open heart surgery.Revista da Associacao Medica Brasileira (1992) · 2022Article
- Our Experiences in the Treatment of Anterior Chest Wall Infections (2015 - 2021).Materia socio-medica · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Deep sternal wound infection (DSWI) is an important complication of open thoracic surgery, with a reported incidence of 0.5-6%. Given its association with increased morbidity, mortality, inpatient duration, financial burden, and re-operation rates, an aggressive approach to treatment is mandated. Flap reconstruction has become the standard of care, with studies demonstrating improved outcomes with reduced mortality and resource usage in patients undergoing early versus delayed flap reconstruction. Despite this, no evidence-based standard for the management of DSWI exists. We performed a thorough review of the literature to identify principles in management, using a PRISMA compliant methodology. Ovid-Embase, Medline and PubMed databases were searched for relevant papers using the search terms "deep sternal wound infection," and "post-sternotomy mediastinitis" to December 2019. Duplicates were removed, and the search narrowed to look at specific areas of interest i.e. negative pressure wound therapy, flap reconstruction, and rigid fixation. The reference list of included articles underwent full text review. No randomized controlled trials were identified. We review the current management techniques for patients with DSWI, and raise awareness for the need for further high quality studies, and a standardized national cardiothoracic-plastic surgery guideline to guide management. Based on our findings and the authors' own experience in this area, we provide evidence-based recommendations. We also propose a reconstructive algorithm.
Identifiers
What OpenQuestion holds
Registered trials
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.