Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Major bleeding during negative pressure wound/ .® - therapy for postsurgical deep sternal wound infection - a critical appraisal. | van Wingerden et al. Journal of Cardiothoracic Surgery 2011 6 121 http content 6 1 121 JCTS JOURNAL OF CARDIOTHORACIC SURGERY COMMENTARY Open Access Major bleeding during negative pressure wound . - therapy for postsurgical deep sternal wound infection - a critical appraisal Jan J van Wingerden1 Patrique Segers2 and Lilian Jekel3 Abstract Negative-pressure wound therapy commercially known as vacuum-assisted closure . therapy has become one of the most popular and efficacious interim prior to flap reconstruction or definite methods of managing deep sternal wound infection. Complications such as profuse bleeding which may occur during negative-pressure therapy but not necessarily due to it are often attributed to a single factor and reported as such. However despite the wealth of clinical experience internationally available information regarding certain simple considerations is still lacking. Garnering information on all the factors that could possibly influence the outcome has become more difficult due to a fortunate decrease in the incidence of deep sternal wound infection. If more insight is to be gained from fewer clinical cases then various potentially confounding factors should be fully disclosed before complications can be attributed to the technique itself or improvements to negative-pressure wound therapy for deep sternal wound infection can be accepted as evidence-based and the guidelines for its use adapted. The authors propose the adoption of a simple checklist in such cases. Keywords Bleeding emergency Chest wall Mediastinitis Mediastinal infection Negative pressure Shock circulatory Statistics meta-analysis Sternum Ventricle right Wound infection Serious bleeding during topical negative-pressure wound therapy NPWT commercially known as vacuum-assisted closure . therapy for deep sternal wound infection DSWI is exceedingly rare. The source of the bleeding is either from the right ventricle RV 1-4 or a vessel .
