Cirugía Plástica Ibero-Latinoamericana
Print version ISSN 0376-7892
PEREZ SEMPERE, M. et al. Use of vacuum-assisted closure therapy (VAC®) in poststernotomy dehiscence in neonates. Cir. plást. iberolatinoam. [online]. 2012, vol.38, n.2, pp.107-114. ISSN 0376-7892. http://dx.doi.org/10.4321/S0376-78922012000200002.
Vacuum-assisted wound closure system (VAC®) has consolidated as an important tool for the management of post-sternotomy mediastinitis in neonates. Its use has reduced significantly the associated morbimortality in these cases. However, there are no controlled studies that could help to establish a treatment protocol. We report our experience with 2 cases in neonates where the VAC® system was used successfully to managed post-sternotomy mediastinitis between June 2009 and February 2010, and we make a literature review of the published data about the subject. With the obtained data we propose treatment guidelines in the management of this dreaded complication of cardiac surgery.
Keywords : Vacuum assisted therapy; Vacuum assisted wound closure; Mediatinitis; Neonates.