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Thorac Cardiovasc Surg 2006; 54(5): 289-294
DOI: 10.1055/s-2006-924003
Original Cardiovascular

© Georg Thieme Verlag KG Stuttgart · New York

Topical Negative Pressure Therapy in Wounds after Cardiothoracic Surgery: Successful Experience Supported by Literature

P. Segers1 , A. P. de Jong1 , J. J. Kloek1 , C. M. van der Horst3 , L. Spanjaard3 , B. A. de Mol1 , 2
  • 1Department of Cardiothoracic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands
  • 2Department of Plastic and Reconstructive Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands
  • 3Department of Medical Microbiology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands
Further Information

Publication History

Received January 27, 2006

Publication Date:
10 August 2006 (online)

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Abstract

Background: Patients undergoing cardiothoracic surgery are at substantial risk of developing surgical site infections (SSI). SSI is not only associated with an increased morbidity but also with high mortality. Topical negative pressure therapy (TNP) is a promising method for treating surgical site defects (SSD). In recent years, we have gained a wide experience with TNP in a great variety of SSD. Methods: We completed a prospective follow-up report of all patients treated with TNP after cardiothoracic surgery at the Academic Medical Centre Amsterdam, a university hospital. A review of the current evidence for TNP in cardiothoracic surgery is presented. Results: Between August 2000 and March 2005, TNP was used in 105 patients in 113 SSD. As we gained more experience, we saw a decline in hospital stay (p < 0.0001) and duration of TNP therapy. Surgical closure was performed in 62 % of patients using simple surgical (reconstructive) techniques. Therapy-related complications were rare (n = 1). Conclusion: Based on clinical findings and supported by the research presented, the treatment modality of choice for SSD after cardiothoracic surgery is TNP.

Key words

Cardiovascular surgery - thoracic surgery - heart valve surgery - coronary bypass surgery

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MD P. Segers

Department of Cardiothoracic Surgery
Academic Medical Centre
University of Amsterdam

Meibergdreef 9

1105 AZ Amsterdam

The Netherlands

Phone: + 31205664323

Fax: + 31 2 05 66 22 89

Email: p.segers@amc.uva.nl