ePlasty: Vol. 14
The Duration of Negative Pressure Wound Therapy Can Be Reduced Using the HeartShield Device in Patients With Deep Sternal Wound Infection
Richard Ingemansson, MD, PhD,a Malin Malmsjö, MD, PhD,b and Sandra Lindstedt, MD, PhDa

Departments of aCardiothoracic Surgery and; and bOphthalmology, Lund University and Skåne University Hospital, Lund, Sweden


Correspondence: Richard.ingemansson@skane.se
Keywords: Wound, heart, sternotomy, NPWT, vacuum

Background: Heart rupture resulting in lethal bleeding is a devastating complication associated with negative pressure wound therapy (NPWT) in patients with deep sternal wound infection (DSWI). We have previously reported that the use of a protective HeartShield device in combination with NPWT decreases the risk of damage to the heart. This article presents a retrospective analysis of NPWT duration with and without the HeartShield device. Subjects and patients: The study included 6 patients treated with the HeartShield device in combination with NPWT and 6 patients treated with conventional NPWT during the same time period. The duration of active treatment time was measured. Results: The median duration of NPWT was 8 days (range: 6-14 days) in the HeartShield device NPWT group and 14 days in the conventional group (range: 10-18 days). The difference was statistically significant (P < .05). .......