The Department of Plastic Surgery, Aarhus University Hospital, Aarhus, Denmark.
Scand Cardiovasc J. 2012 Oct;46(5):254-61. doi: 10.3109/14017431.2012.674549. Epub 2012 Mar 29.
The management of sternal defects arisen after deep sternal wound infection is challenging and often requires extensive interdisciplinary teamwork between plastic and thoracic surgeons. In this study, the published literature on methods used to reconstruct sternal defects arisen as a result of deep sternal wound infection after open-heart surgery will be reviewed.
The Cochrane, Embase, PubMed, and SveMed + databases were searched in December 2011. Only papers regarding treatment of deep sternal wound infection after open-heart surgery in adults were included.
The literature search identified 224 original papers that met the inclusion criteria. The majority dealt with surgical techniques. None of the studies regarding reconstructive options were designed as randomized controlled trials, and the levels of evidence are generally low.
The treatment of deep sternal wound infection has evolved considerably, but there is still little consensus regarding optimal surgical management and a general lack of a standard treatment protocol. The use of muscle flap transposition is well documented. Recent studies recommend the use of topical negative pressure therapy as an adjunct to surgical reconstruction.
治疗心脏直视手术后并发深部胸骨伤口感染所致胸骨缺损具有挑战性，往往需要胸外科医生和整形外科医生进行广泛的跨学科协作。本研究回顾了已发表的关于治疗心脏直视手术后并发深部胸骨伤口感染所致胸骨缺损的文献。
2011 年 12 月检索了 Cochrane、Embase、PubMed 和 SveMed+数据库。仅纳入了关于成人心脏直视手术后深部胸骨伤口感染治疗的论文。
文献检索确定了 224 篇符合纳入标准的原始论文。大多数论文涉及手术技术。关于重建选择的研究均未设计为随机对照试验，证据水平普遍较低。
深部胸骨伤口感染的治疗已经有了很大的发展，但对于最佳手术管理仍存在争议，而且普遍缺乏标准的治疗方案。肌肉瓣转移的应用已有充分的文献记载。最近的研究建议将负压伤口治疗作为手术重建的辅助手段。
