A Comparative Analysis of Negative Pressure Wound Therapy Methods for Sternal Wound Infections
dc.contributor.author | Bamba, Ravinder | |
dc.contributor.author | Harvey, Brianna I. | |
dc.contributor.author | Malik, Noor U. | |
dc.contributor.author | Higgins, Jasmine | |
dc.contributor.author | Sung, Cynthia | |
dc.contributor.author | Corvera, Joel S. | |
dc.contributor.author | Hartman, Brett C. | |
dc.contributor.author | Hassanein, Aladdin H. | |
dc.contributor.author | Lester, Mary E. | |
dc.contributor.department | Surgery, School of Medicine | |
dc.date.accessioned | 2025-04-17T12:32:02Z | |
dc.date.available | 2025-04-17T12:32:02Z | |
dc.date.issued | 2025-03-07 | |
dc.description.abstract | Sternal wound infection can be a severe complication of cardiac surgery. Multiple debridements are often necessary before definitive coverage, and negative pressure wound therapy (NPWT) is often used as a temporary dressing between debridements. NPWT with instillation and dwell (NPWT-i) has been used in many wound types including sternal wounds with success. The purpose of this study was to compare outcomes between sternal wounds managed with conventional NPWT and NPWT-i. A total of 47 patients who had sternal wound infections were managed with debridement, negative pressure therapy, and flap. Patients were divided into 2 groups based on the type of negative pressure therapy: NPWT (n = 24) and NPWT-i (n = 23). The NPWT group required 3.3 debridements per patient before flap coverage, whereas the NPWT-i group required 3.4 debridements per patient (P = 0.86). Other postoperative outcomes including seroma, hematoma, delayed wound healing, and surgical site infection were similar between the 2 groups. We found NPWT similar to NPWT-i for the number of debridements needed and outcomes in the management of sternal wound infections. NPWT-i does not replace or decrease the need for operative debridement in sternal wounds. | |
dc.eprint.version | Final published version | |
dc.identifier.citation | Bamba R, Harvey BI, Malik NU, et al. A Comparative Analysis of Negative Pressure Wound Therapy Methods for Sternal Wound Infections. Plast Reconstr Surg Glob Open. 2025;13(3):e6579. Published 2025 Mar 7. doi:10.1097/GOX.0000000000006579 | |
dc.identifier.uri | https://hdl.handle.net/1805/47107 | |
dc.language.iso | en_US | |
dc.publisher | Wolters Kluwer | |
dc.relation.isversionof | 10.1097/GOX.0000000000006579 | |
dc.relation.journal | Plastic and Reconstructive Surgery Global Open | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | en |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.source | PMC | |
dc.subject | Sternal wound infection | |
dc.subject | Cardiac surgery | |
dc.subject | Debridements | |
dc.subject | Negative pressure wound therapy (NPWT) | |
dc.title | A Comparative Analysis of Negative Pressure Wound Therapy Methods for Sternal Wound Infections | |
dc.type | Article |