A new classification of post-sternotomy dehiscence

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Autor principal: Jaime Anger
Formato: Artículo científico
Lenguaje:en
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2015
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author Jaime Anger
author_facet Jaime Anger
contents A new classification of post-sternotomy dehiscence Jaime Anger Daniel Chagas Dantas Renato Tambellini Arnoni Pedro Sílvio Farsky Medicina 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. 2015 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941896019 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.1 Vol.30
format Artículo científico
id redalyc_398941896019
institution Redalyc
language en
publishDate 2015
publisher Sociedade Brasileira de Cirurgia Cardiovascular
spellingShingle A new classification of post-sternotomy dehiscence
Jaime Anger
Medicina
A new classification of post-sternotomy dehiscence Jaime Anger Daniel Chagas Dantas Renato Tambellini Arnoni Pedro Sílvio Farsky Medicina 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. 2015 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941896019 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.1 Vol.30
title A new classification of post-sternotomy dehiscence
topic Medicina
url https://www.redalyc.org/articulo.oa?id=398941896019