A new classification of post-sternotomy dehiscence

Detalhes bibliográficos
Autor(a) principal: Anger,Jaime
Data de Publicação: 2015
Outros Autores: Dantas,Daniel Chagas, Arnoni,Renato Tambellini, Farsky,Pedro Sílvio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Cardiovascular Surgery (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000100019
Resumo: The dehiscence after median transesternal sternotomy used as surgical access for cardiac surgery is one of its complications and it increases the patient's morbidity and mortality. A variety of surgical techniques were recently described resulting to the need of a classification bringing a measure of objectivity to the management of these complex and dangerous wounds. The different related classifications are based in the primary causal infection, but recently the anatomical description of the wound including the deepness and the vertical extension showed to be more useful. We propose a new classification based only on the anatomical changes following sternotomy dehiscence and chronic wound formation separating it in four types according to the deepness and in two sub-groups according to the vertical extension based on the inferior insertion of the pectoralis major muscle.
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spelling A new classification of post-sternotomy dehiscenceThoracotomySurgical wound infectionSternumPostoperative complicationsThe dehiscence after median transesternal sternotomy used as surgical access for cardiac surgery is one of its complications and it increases the patient's morbidity and mortality. A variety of surgical techniques were recently described resulting to the need of a classification bringing a measure of objectivity to the management of these complex and dangerous wounds. The different related classifications are based in the primary causal infection, but recently the anatomical description of the wound including the deepness and the vertical extension showed to be more useful. We propose a new classification based only on the anatomical changes following sternotomy dehiscence and chronic wound formation separating it in four types according to the deepness and in two sub-groups according to the vertical extension based on the inferior insertion of the pectoralis major muscle.Sociedade Brasileira de Cirurgia Cardiovascular2015-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000100019Brazilian Journal of Cardiovascular Surgery v.30 n.1 2015reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.5935/1678-9741.20140033info:eu-repo/semantics/openAccessAnger,JaimeDantas,Daniel ChagasArnoni,Renato TambelliniFarsky,Pedro Sílvioeng2015-06-15T00:00:00Zoai:scielo:S0102-76382015000100019Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2015-06-15T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false
dc.title.none.fl_str_mv A new classification of post-sternotomy dehiscence
title A new classification of post-sternotomy dehiscence
spellingShingle A new classification of post-sternotomy dehiscence
Anger,Jaime
Thoracotomy
Surgical wound infection
Sternum
Postoperative complications
title_short A new classification of post-sternotomy dehiscence
title_full A new classification of post-sternotomy dehiscence
title_fullStr A new classification of post-sternotomy dehiscence
title_full_unstemmed A new classification of post-sternotomy dehiscence
title_sort A new classification of post-sternotomy dehiscence
author Anger,Jaime
author_facet Anger,Jaime
Dantas,Daniel Chagas
Arnoni,Renato Tambellini
Farsky,Pedro Sílvio
author_role author
author2 Dantas,Daniel Chagas
Arnoni,Renato Tambellini
Farsky,Pedro Sílvio
author2_role author
author
author
dc.contributor.author.fl_str_mv Anger,Jaime
Dantas,Daniel Chagas
Arnoni,Renato Tambellini
Farsky,Pedro Sílvio
dc.subject.por.fl_str_mv Thoracotomy
Surgical wound infection
Sternum
Postoperative complications
topic Thoracotomy
Surgical wound infection
Sternum
Postoperative complications
description The dehiscence after median transesternal sternotomy used as surgical access for cardiac surgery is one of its complications and it increases the patient's morbidity and mortality. A variety of surgical techniques were recently described resulting to the need of a classification bringing a measure of objectivity to the management of these complex and dangerous wounds. The different related classifications are based in the primary causal infection, but recently the anatomical description of the wound including the deepness and the vertical extension showed to be more useful. We propose a new classification based only on the anatomical changes following sternotomy dehiscence and chronic wound formation separating it in four types according to the deepness and in two sub-groups according to the vertical extension based on the inferior insertion of the pectoralis major muscle.
publishDate 2015
dc.date.none.fl_str_mv 2015-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000100019
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000100019
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/1678-9741.20140033
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
dc.source.none.fl_str_mv Brazilian Journal of Cardiovascular Surgery v.30 n.1 2015
reponame:Brazilian Journal of Cardiovascular Surgery (Online)
instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron:SBCCV
instname_str Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron_str SBCCV
institution SBCCV
reponame_str Brazilian Journal of Cardiovascular Surgery (Online)
collection Brazilian Journal of Cardiovascular Surgery (Online)
repository.name.fl_str_mv Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
repository.mail.fl_str_mv ||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br
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