Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report. | Klement and Herrmann Journal of Medical Case Reports 2010 4 266 http content 4 1 266 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection a case report Andreas Klement1 Manfred Herrmann2 Abstract Introduction Sternal dehiscence and instability poses a significant cause of persistent pain and limited quality of life following hospital discharge for to 5 of patients who have undergone median sternotomy for open heart surgery. We report a successful conservative supportive long-term therapy of painful sternal non-union using a customized compression garment vest. Case presentation We report a case of painful sternal instability following open heart surgery in a 74-year-old Caucasian man. The complicating factors of obesity body mass index of 40 renal failure insulin-dependent diabetes mellitus and absolute arrhythmia with atrial fibrillation were present. Conclusion A number of studies have demonstrated the efficacy of surgical interventions for secondary sternal stabilization but individual patients may reject this option or may be for other reasons no longer operable. The task of primary care physicians and other health care providers is to offer this group of patients an alternative option for pragmatic inexpensive and effective supportive therapy of which compression garments are an example. Introduction Deep surgical wound infections DSWIs after coronary artery bypass grafting CABG are known to be rare but serious complications. Sternal dehiscence occurs in to 5 of patients who have undergone median sternotomy and poses a significant cause of persistent pain and limited quality of life following hospital discharge 1 . Although diverse studies have demonstrated the efficacy of surgical interventions for secondary sternal stabilization individual patients reject this option or are for other .
