| Description |
1 online resource (x, 137 pages) : illustrations |
| Contents |
Preface; Table of content; Editors; Authors; 1 Definition, Classification, and Epidemiology of Sternal Osteomyelitis; Definition; Classification; Epidemiology and Economic Considerations; 2 Anatomy and Blood Supply of the Sternum; Bony Anatomy; Relationship to Muscles; Development; Arterial Supply; 3 Pathophysiology of Sternal Osteomyelitis; Role of Bacteria; Biofilm; Caveats and Treatment Implications; 4 Stabilization of Thoracic Wall and Ventilatory Function by Negative Pressure Wound Therapy; Background; Sternal Instability and Flail Chest; Implications of Deep Sternal Wound Infections |
|
5 Radiological Diagnostics of Postoperative Sternal OsteomyelitisBackground; Computed Tomography; Radionuclide Imaging; X-rays; Magnetic Resonance Imaging; 6 Microbiological Aspects and Epidemiological Data of Poststernotomy Deep Sternal Wound Infection; Introduction; Literature Search; Results; Frequency of DSWI; Spectrum of Pathogens; Conclusions for Clinical Practice; 7 Primary Wound Management of Poststernotomy Infection; Prevention; Diagnosis; Treatment; How We Do It; 8 Negative Pressure Wound Therapy in Poststernotomy Deep Sternal Wound Infection; Introduction; The Principle of NPWT |
|
Functional PrincipleExample of Application; Effects on Wound Healing; Handling and Duration of Application; Literature Overview; Literature Search and Selection Method; Results; Aspects of Evidence-Based Medicine; Science Behind NPWT in DSWI; NPWT-Induced Change in Perfusion; Effects of Different Suction Strengths on Wound Sealing; Decontamination, Bacterial Clearance, and Immunological Effects of NPWT; Molecular Mechanisms in Wound Healing with NPWT; Microdeformational Effects of NPWT; Effect on Topical Antibiotic Concentrations; Technical Aspects of NPWT in Treatment of DSWI |
|
Selection of Foam MaterialSelection of Suction Strength; Selection of Vacuum Source; Complications of NPWT in DSWI; Contraindications; Conclusions for Clinical Practice; 9 Bone Stabilization Methods After Sternal Osteotomy; Introduction; Standard Technique of Sternal Osteosynthesis; Different Sternal Closure Techniques; Sternal Osteosynthesis Under Special Conditions; Sternal Osteosynthesis in Neonates and Infants; 10 Principles of Plastic Surgery in Sternal Osteomyelitis; Introduction; Involvement of the Plastic Surgeon; Principles of Regional Flaps Versus Free Flaps |
|
Managing the Microbiobial Burden of Sternal Wounds During Defect CoveragePrinciples of Plastic Surgical Management; Preventive Plastic Surgery in High-Risk Patients (Flap Delay); 11 Plastic Surgical Methods of Defect Coverage in Sternal Osteomyelitis with Pedicled Flaps; Introduction; Pectoralis Major Flap; Rectus Abdominis Flap; Latissimus Dorsi Flap; Greater Omentum Flap; Conclusion; 12 Indications for Free Flap Coverage and Interdisciplinary Combined Approaches with Vascular Surgery AV Loops; Introduction; Indications for Free Flap Reconstruction |
| Summary |
This concise and practical handbook covers the basics of pathophysiology, diagnosis, interdisciplinary surgical management, prevention and rehabilitation of patients with deep sternal wound infections and sternal osteomyelitis. All relevant aspects and surgical procedures are explained in an easily understandable way. Additionally special approaches and preventive measures are highlighted with regard to the perioperative handling as well as the rehabilitation possibilities. Through concise texts with numerous illustrations, the book is ideal for the practice and as a supplement to further studies. This book is suitable for all specialists who are involved into the treatment and diagnosis of sternal wound infections, particularly cardio-thoracis, thoracic, plastic, vascular surgeons, cardiologists, radiologists, and rehabilitation physicians |
| Bibliography |
Includes bibliographical references and index |
| Notes |
Online resource; title from PDF title page (SpringerLink, viewed January 27, 2017) |
| Subject |
Sternum -- Infections
|
|
Sternum -- Surgery -- Complications
|
|
Wounds and injuries -- Infections.
|
|
Wound Infection
|
|
MEDICAL -- Surgery -- General.
|
|
Critical care medicine
|
|
Medical rehabilitation
|
|
Medicine
|
|
Surgery, Plastic
|
|
Traumatology
|
| Form |
Electronic book
|
| Author |
Horch, Raymund E., editor
|
|
Willy, Christian, editor
|
|
Kutschka, Ingo, editor
|
| ISBN |
9783662497661 |
|
3662497662 |
|
