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Vinokurov I.A.

Petrovsky National Research Center of Surgery, Moscow, Russia

Tagabilev D.G.

Petrovsky National Research Center of Surgery, Moscow, Russia

Lev G.V.

Petrovsky National Research Center of Surgery, Moscow, Russia

Yusupov S.A.

Petrovsky National Research Center of Surgery, Moscow, Russia

Serebrennikova Yu.A.

Petrovsky National Research Center of Surgery, Moscow, Russia

Allau A.A.

Petrovsky National Research Center of Surgery, Moscow, Russia

Belov Yu.V.

Petrovsky National Research Center of Surgery, Moscow, Russia

Wound infection management in early period after sternotomy

Authors:

Vinokurov I.A., Tagabilev D.G., Lev G.V., Yusupov S.A., Serebrennikova Yu.A., Allau A.A., Belov Yu.V.

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Journal: Pirogov Russian Journal of Surgery. 2026;(3): 71‑77

DOI: 10.17116/hirurgia202603171

Read: 506 times

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Table of contents

WOUND INFECTION MANAGEMENT IN EARLY PERIOD AFTER STERNOTOMY
WOUND INFECTION MANAGEMENT IN EARLY PERIOD AFTER STERNOTOMY

To cite this article:

Vinokurov IA, Tagabilev DG, Lev GV, Yusupov SA, Serebrennikova YuA, Allau AA, Belov YuV. Wound infection management in early period after sternotomy. Pirogov Russian Journal of Surgery. 2026;(3):71‑77. (In Russ.)
https://doi.org/10.17116/hirurgia202603171

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
Recommended articles:
Intraopertive use of local hemo­statics in infe­cted wounds. Piro­gov Russian Journal of Surgery. 2025;(11):94-100
Abstract:

OBJECTIVE

To describe appropriate treatment strategy at the Petrovsky National Research Center of Surgery and compare results for stable chest and sternum diastasis.

MATERIAL AND METHODS

Treatment results were analyzed in 91 patients between October 2022 and December 2024. Patients with sternum diastasis < 4 mm were assigned to group 1 (n=21), patients with severe diastasis — group 2 (n=70). In group 1, negative pressure therapy followed by secondary sutures was used, in group 2 — extended necrectomy with wound defect closure by muscle flaps.

RESULTS

In group 1, 5 (23.8%) patients had no clinical effect from therapy and required necrectomy and wound repair. Mortality rate was 4.8% and 8.6% (p=0.56), early recurrence of infection — 9.5% and 22.8% (p=0.18), mean hospital-stay — 10.1±3.6 and 19.8±5.4 days (p=0.03), respectively. Two-year survival was about 95% in both groups, and incidence of infection recurrence was higher in group 2 (23% after 2 years).

CONCLUSION

Chest wall stability may be decisive in choosing treatment strategy. Vacuum therapy is effective in patients without sternal diastasis. Mortality rate in early and long-term period after treatment was comparable in both groups.

Keywords:

DSWI
wound infection
wound closure
negative pressure therapy

Authors:

Vinokurov I.A.

Petrovsky National Research Center of Surgery, Moscow, Russia

Tagabilev D.G.

Petrovsky National Research Center of Surgery, Moscow, Russia

Lev G.V.

Petrovsky National Research Center of Surgery, Moscow, Russia

Yusupov S.A.

Petrovsky National Research Center of Surgery, Moscow, Russia

Serebrennikova Yu.A.

Petrovsky National Research Center of Surgery, Moscow, Russia

Allau A.A.

Petrovsky National Research Center of Surgery, Moscow, Russia

Belov Yu.V.

Petrovsky National Research Center of Surgery, Moscow, Russia

Received:

11.03.2025

Accepted:

01.04.2025

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References:

  1. Kulinich AV, Vorob’ev AA, Kalashnikov AV, Kuz’min ME. Postoperative mediastinitis in cardiac surgery practice. Operativnaja hirurgija i klinicheskaja anatomija (Pirogovskij nauchnyj zhurnal). 2023;7(2):51-54. (In Russ.). https://doi.org/10.17116/operhirurg2023702151
  2. Abakumov MM. Diagnosis and treatment of purulent mediastinitis is a special chapter in the history of surgery. Hirurgija. Zhurnal im. N.I. Pirogova. 2019;3(1):105-110. (In Russ.). https://doi.org/10.17116/hirurgia2019031105
  3. Hui Yi Phoon P, Chih Hwang N. Deep Sternal Wound Infection: Diagnosis, Treatment and Prevention. J Cardiothorac Vasc Anesthes. 2020;34(6):1602-1613. https://doi.org/10.1053/j.jvca.2019.09.019
  4. Hever P, Singh P, Eiben I, Eiben P, Nikkhah D. The management of deep sternal wound infection: Literature review and reconstructive algorithm. JPRAS Open. 2021;28:77-89.  https://doi.org/10.1016/j.jpra.2021.02.007
  5. Zhang H, Lin J, Yang H, et al. Bilateral partial pectoralis major muscle turnover flaps for the management of deep sternal wound infection following cardiac surgery. J Thorac Dis. 2020;12(10):6010-6015. https://doi.org/10.21037/jtd-20-2845
  6. Mali S, Abyari N, Sarebanhassanabadi M. Chronic sternal wound fistula after coronary artery bypass surgery: a case series. Ann Card Anaesth. 2019;22(3):328-330. 
  7. McCranie AS, Christodoulou N, Wolfe B, Malgor RD, Mathes DW, Winocour J, Yu JW, Kalia N, Kaoutzanis C. The use of flaps for management of deep sternal wound complications: A systematic review and meta-analysis. J Plast Reconstr Aesthet Surg. 2024;91:302-311.  https://doi.org/10.1016/j.bjps.2024.02.041
  8. Perezgrovas-Olaria, Roberto, et al. Deep sternal wound infection and mortality in cardiac surgery: a meta-analysis. Ann Thorac Surg. 2023;115(1):272-280.  https://doi.org/10.1016/j.athoracsur.2022.04.054
  9. Jang YJ, Park MC, Park DH, Lim H, Kim JH, Lee IJ. Immediate debridement and reconstruction with a pectoralis major muscle flap for poststernotomy mediastinitis. Arch Plast Surg. 2012;39(1):36-41.  https://doi.org/10.5999/aps.2012.39.1.36.
  10. Podosinnikov AS, Belov IuV, Shabalkin BV. Suppurative mediastinitis in the surgery of ischemic heart disease. Vestn Khir Im II Grek. 1983;131(11):14-17. (In Russ.).
  11. Podosinnikov AS, Belov IuV. Costal chondritis as a complication of purulent mediastinitis following median sternotomy. Grudn Khir. 1984;1:70-74. (In Russ.).
  12. Biancari F, Santoro G, Provenzano F, Savarese L, Iorio F, Giordano S, Zebele C, Speziale G. Negative-Pressure Wound Therapy for Prevention of Sternal Wound Infection after Adult Cardiac Surgery: Systematic Review and Meta-Analysis. J Clin Med. 2022;11(15):4268. https://doi.org/10.3390/jcm11154268
  13. Zukowska A, Zukowski M. Surgical Site Infection in Cardiac Surgery. J Clin Med. 2022;11(23):6991. https://doi.org/10.3390/jcm11236991
  14. Banjanovic B, Karabdic IH, Straus S, Berberovic BH, Djedovic M, Granov N. Deep Sternal Wound Infection After Open-heart Cardiac Surgery and Vacuum-Assisted Closure Therapy: a Single-center Study. Med Arch. 2022;76(4):273-277.  https://doi.org/10.5455/medarh.2022.76.273-277
  15. Potapov VA, Kohan EP, Asanov ON, Musailov VA. Use of vacuum therapy and bacteriophages in the complex treatment of deep sternal wound infection. Bulletin of Pirogov National Medical Surgical Center. 2021;16(2):66-71. (In Russ.). https://doi.org/10.25881/20728255_2021_16_2_66
  16. Belov YuV, Komarov RN, Chernyavskii SV, Reshetov IV, Nogtev PV. Surgical treatment of postoperative suppurative sternomediastinitis. Pirogov Russian Journal of Surgery. 2015;7:85-87. (In Russ.). https://doi.org/10.17116/hirurgia2015785-87
  17. Zeitani J, Bertoldo F, Bassano C, Penta de Peppo A, Pellegrino A, El Fakhri FM, Chiariello L. Superficial wound dehiscence after median sternotomy: surgical treatment versus secondary wound healing. Ann Thorac Surg. 2004;77(2):672-675.  https://doi.org/10.1016/S0003-4975(03)01594-7
  18. Wilberg Orrason, Astridur Petursdottir, Martin Ingi Sigurdsson, Anders Jeppsson, Tomas Gudbjartsson, Short- and long-term mortality after deep sternal wound infection following cardiac surgery: experiences from SWEDEHEART. Eur J Cardio-Thoracic Surg. 2021;60(2):2330-2241. https://doi.org/10.1093/ejcts/ezab080
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