From the Divisions of Plastic Surgery, Cardiac Surgery, and Infectious Disease, Brigham & Women's Hospital.
Plast Reconstr Surg. 2021 Dec 1;148(6):1012e-1025e. doi: 10.1097/PRS.0000000000008510.
After studying this article, the participant should be able to: 1. Describe the pathogenesis, classification, and risk factors of sternal wound infection. 2. Discuss options for sternal stabilization for the prevention of sternal wound infection, including wiring and plating techniques. 3. Discuss primary surgical reconstructive options for deep sternal wound infection and the use of adjunctive methods, such as negative-pressure wound therapy.
Poststernotomy sternal wound infection remains a life-threatening complication of open cardiac surgery. Successful treatment relies on timely diagnosis and initiation of multidisciplinary, multimodal therapy.
学习本文后，参与者应能够：1. 描述胸骨伤口感染的发病机制、分类和危险因素。2. 讨论预防胸骨伤口感染的胸骨稳定选择，包括布线和接骨板技术。3. 讨论深部胸骨伤口感染的主要外科重建选择以及辅助方法（如负压伤口治疗）的使用。
开胸心脏手术后胸骨切开术后胸骨伤口感染仍然是一种危及生命的并发症。成功的治疗依赖于及时诊断和多学科、多模式治疗的启动。
