aIncisional Negative Pressure Wound Therapy (INPWT) for Coronary Artery Bypass Grafting Patients
El Ashkar, A., Khallaf, A. (2019). aIncisional Negative Pressure Wound Therapy (INPWT) for Coronary Artery Bypass Grafting Patients. EKB Journal Management System, 75(3), 2353-2357. doi: 10.21608/ejhm.2019.30753
Ahmed M. El Ashkar; Ahmed N. Khallaf. "aIncisional Negative Pressure Wound Therapy (INPWT) for Coronary Artery Bypass Grafting Patients". EKB Journal Management System, 75, 3, 2019, 2353-2357. doi: 10.21608/ejhm.2019.30753
El Ashkar, A., Khallaf, A. (2019). 'aIncisional Negative Pressure Wound Therapy (INPWT) for Coronary Artery Bypass Grafting Patients', EKB Journal Management System, 75(3), pp. 2353-2357. doi: 10.21608/ejhm.2019.30753
El Ashkar, A., Khallaf, A. aIncisional Negative Pressure Wound Therapy (INPWT) for Coronary Artery Bypass Grafting Patients. EKB Journal Management System, 2019; 75(3): 2353-2357. doi: 10.21608/ejhm.2019.30753

aIncisional Negative Pressure Wound Therapy (INPWT) for Coronary Artery Bypass Grafting Patients

The Egyptian Journal of Hospital Medicine
Article 6, Volume 75, Issue 3, April 2019, Page 2353-2357  XML PDF (270.15 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2019.30753
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Authors
Ahmed M. El Ashkar email 1; Ahmed N. Khallaf2
1Cardiothoracic Surgery, Beni-suef University, Beni-suef
2Cardiothoracic Surgery, Fayoum University, Fayoum, Egypt
Abstract
Background: Surgical site infections are major complications of coronary artery bypass grafting using bilateral internal thoracic arteries. In this study we reviewed the results of using INPWT for high risk patients with coronary artery bypass grafting (CABG) using bilateral internal mammary arteries. Patients and methods: From January 2013 to December 2016, patients with coronary artery bypass grafting using bilateral mammary arteries were enrolled in this study. Patients were from Kasr El-Einy, Beni-Suef and Fayoum University Hospitals. The total number was 427 patients, where INPWT was used in 161 patient, and conventional sterilized dressing was done in 266 patients. 2 groups were matched for statistical analysis, the first group was the control and the second group was where INPWT was used. Results: The results related to sternal wound infections were similarly attributed to the conventional group (10.9%) and the INPWT group (10.2%) (P=1.00). Patients treated with INPWT had less rate of infection than those with conventional dressing (5.5% versus 10.2%, P= 0.210), this difference was not statistically significant. Interaction tests also showed comparable results for SSI (surgical site infections) among patients with or without significant co-morbidities. Conclusion: This study suggests that the use of INPWT did not decrease the incidence of sternal wound infections in patients who had CABG surgery using bilateral internal mammary harvesting (BIMA). A larger randomized study is needed to evaluate the efficacy of this technique.
Keywords
Coronary artery bypass grafting; incisional negative pressure wound therapy; mediastinitis
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