Risk Factors Predicting Surgical Wound Infection Following Open Heart Surgery | ||||
| Al-Azhar University Journal of Medical and Virus Researches and Studies | ||||
| Articles in Press, Accepted Manuscript, Available Online from 25 March 2025 PDF (338.46 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aujv.2025.419115 | ||||
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| Abstract | ||||
| Background: Surgical site infections (SSIs) post-cardiothoracic surgery represent a significant challenge. Vacuum assisted closure (VAC) applies negative pressure to the wound bed, resulting in wound healing benefits. The aim of this work was to access the role of related factors in incidence of postoperative superficial and deep sternal wound infection following open heart surgery. Patients and Methods: This retrospective study was carried out on 40 patients aged from 25 to 70 years old, who underwent open heart surgery All patients were subjected to conservative treatment [antibiotic and frequent dressing], debridement steps, and VAC. Results: 30 of 40 patients were diabetic (75%). 22 of 40 patients were hypertensive (55%). 24 of 40 patients were obese with body mass index more than 30 kg/m2 (60%) and 12 patients were over-weight between (25-30) kg/m2(30%). 12 of 40 patients were smoker (30%) and 2 of 40 were COPD patients (5%). All patients subjected to VAC system, (26 patients) the VAC system was used as a primary therapy followed by secondary suturing of the wound. Other (14) patients subjected to VAC system then conventional therapy 6 cases followed by bilateral pectoralis muscle advancement which sutured in midline. 8 cases followed by rewiring after debridement of the osteomyelitic edge of the sternum with bilateral advancement of pectoralis major with suturing in midline. Conclusions: VAC therapy was effective and suitable, particularly in the presence of risk factors where it reduces dependence on regional flap and incidence of flap-related morbidity. | ||||
| Keywords | ||||
| : Risk Factors; Surgical Wound Infection; Open Heart | ||||
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